Case Presentation: A 48-year-old man with a C5 spinal cord injury at birth complicated by spastic quadriparesis, contractures, and chronic musculoskeletal pain presented with two weeks of progressive diffuse pain, functional decline, poor oral intake, nausea, easy bruising, and gingival bleeding. He was admitted to the hospital for acute on chronic pain and work-up of [...]

Case Presentation: 19 year old woman with a history of depression, anxiety, ADHD and pre-diabetes was admitted for evaluation of hypoxia and pneumonia. Two days prior she presented to an urgent care with sudden onset mid-back and right shoulder pain. She was diagnosed with muscle spasm and discharged with NSAIDs.  The pain reoccurred the next day, [...]

Case Presentation: An 18-year-old male underwent an operation to repair a distal radius fracture. Intubation and surgery were uncomplicated. On emergence from anesthesia, he developed profound hypoxia due to laryngospasm with oxygen saturation dropping below 70%. The laryngospasm was terminated with propofol and patient stabilized in the post anesthesia care unit. However, within hours of [...]

Case Presentation: A 28-year-old woman with Turner syndrome, hypertension, hyperlipidemia, and a history of congenital portal hypertension treated with TIPS as an infant for gastrointestinal bleeding presented to the emergency room in June 2025 with new-onset painless jaundice, early satiety, and nausea. Laboratory results on admission showed a total bilirubin of 13.7 mg/dL, AST 538 [...]

Case Presentation: A 65-year-old male with past medical history significant for hepatocellular carcinoma on duravalumab and tremelimumab, liver cirrhosis secondary to hepatitis C, portal vein thrombosis on anticoagulation, hypertension presented to the hospital with diffuse muscle pains, proximal muscle weakness, skin rash, urinary and fecal incontinence which started 5 days prior to presentation. The patient [...]

Case Presentation: A 43-year-old Hispanic male with a past medical history of biliary pancreatitis status post cholecystectomy and endoscopic retrograde cholangiopancreatography (ERCP) with common bile duct (CBD) stent placement presented with abdominal pain, nausea, vomiting, and inability to tolerate oral intake. He also reported painful submandibular swelling and left eye proptosis associated with clear drainage.Laboratory [...]

Case Presentation: A 78-year-old female with a medical history of hypertension and hypothyroidism was admitted for evaluation of altered mental status. She had experienced significant decline in memory and functional capacity over the previous three weeks, which prompted her hospitalization. Prior to this, she had been fully independent and was a retired ICU nurse by [...]

Case Presentation: A 34 year –old man presented with cough that began twelve years ago after he underwent thoracotomy after suffering a gun-shot wound to his chest. Shortly thereafter, he was incarcerated, resulting in fragmented care. Previous imaging of his chest revealed scarring and a left lower lobe cavitary lesion. The patient had several negative [...]

Case Presentation: BACKGROUND: Type I hypersensitivity reactions to hemodialysis dialyzers are rare but clinically significant. They can mimic infection, autoimmune disease, or non-adherence, leading to repeated hospitalizations and delays in diagnosis.CASE: A 56-year-old Spanish-speaking woman with end-stage renal disease on hemodialysis, heart failure with reduced ejection fraction, interstitial lung disease, prior cerebrovascular accident, and type [...]

Case Presentation: A 65-year-old male with no significant past medical history was initially hospitalized for Klebsiella aerogenes urosepsis due to obstructive nephrolithiasis requiring bilateral nephrostomy tube placement and ciprofloxacin. Approximately one week later, he re-presented with severe hyponatremia. CT abdomen/pelvis revealed new thickening of the distal sigmoid colon and rectum with pelvic fat stranding. These [...]