Case Presentation: A 61-year-old male with a medical history of biliary dyskinesia status post cholecystectomy 3 months prior, presented to the hospital with right upper quadrant abdominal pain and outpatient imaging concerning for possible bile leak. The pain was intermittent, occurring several times per week and started after his cholecystectomy. The pain was absent during [...]

Case Presentation: The patient was a 60-year-old woman with rheumatoid arthritis treated with methotrexate and abatacept infusions, CAD, HFpEF, COPD, and DM2. She initially received an outpatient prescription for Bactrim for a presumed UTI. Shortly afterward, she developed worsening fatigue, oral pain, confusion, and poor intake. On presentation she was found to have profound pancytopenia [...]

Case Presentation: A 57-year-old woman with resistant hypertension and end-stage renal disease on hemodialysis presented with fever, chills, and suprapubic pain of five days. Laboratory evaluation showed elevated wbc at 16 10*3/uL and hemoglobin 8.6 g/dL(at baseline). CT abdomen and pelvis showed a distended urinary bladder with mural thickening and antidependent air with additional foci [...]

Case Presentation: A 60-year-old male with cirrhosis secondary to metabolic and alcoholic-associated liver disease (MetALD) presented to the emergency department after a fall. At time of arrival, he was incidentally found to have an oxygen saturation of 70% on room air without dyspnea. Oxygen saturation improved to 91% on 8 L/min via nasal cannula but [...]

Case Presentation: A 38-year-old woman with known Behçet’s disease (BD) on hydroxychloroquine presented with six days of horizontal binocular diplopia on rightward gaze, resolving when either eye was closed. There was no diplopia on left gaze, headache, or other neurologic symptoms. Examination revealed isolated right abducens nerve (cranial nerve VI) palsy. Laboratory evaluation, CT head, [...]

Case Presentation: A 30-year-old male with no prior medical history presented to the emergency department after two witnessed episodes of transient loss of consciousness. The first episode occurred in the morning when he was found on the floor with facial bruising and mild confusion but denied prodromal symptoms such as dizziness, palpitations, or chest pain. [...]

Case Presentation: A 39-year-old female with no past medical history presented 3 weeks after an ATV accident in Lebanon. She had sustained a closed left proximal humerus fracture and an open left midshaft radius/ulna fracture exposed to vegetation. She was treated in Lebanon with urgent open reduction and internal fixation, and irrigation and debridement. Ten [...]

Case Presentation: A 44-year-old female with a past medical history of systemic lupus erythematosus (SLE) and severe peripheral artery disease (PAD) presented to the emergency department with worsening pain, numbness, and discoloration of right hand digits, predominantly involving the index finger. Symptoms persisted despite outpatient vasodilator therapy for suspected Raynaud’s phenomenon. Examination showed a cool, [...]

Case Presentation: A 76-year-old man presented with 4 days of fever, abdominal pain, nausea, vomiting, and confusion. His history included overlap granulomatosis with polyangiitis and giant cell arteritis, treated with rituximab until it was discontinued 6 months earlier for hypogammaglobulinemia. Low-dose methotrexate (MTX) was started 2 months before admission and increased to 20 mg weekly [...]

Case Presentation: A previously healthy 19-year-old woman presented with several days of sore throat, oral pain, fever, and a grey-black gingival discoloration. One month earlier, she had been diagnosed with acute Epstein–Barr virus (EBV) infection after returning from Europe. Four days prior to admission, her symptoms recurred and progressed to severe gingival pain and discoloration. [...]