Case Presentation: A 61‐year‐old man presented with episodic chest pain. He described the pain as a pressure and was associated with shortness of breath. He reported relief with sublingual nitroglycerin. He had a history of coronary artery disease treated with balloon angioplasty two years prior and chronic hepatitis C cirrhosis with a MELD of 10 [...]

Case Presentation: A 60 year‐old man presented with 5‐days of nausea, vomiting, and abdominal pain. His family described him as having increased fatigue, decreased mental status, and poor urinary output over the past week. He had a cervical spinal fusion one month prior. He had orthostatic hypotension, was somnolent and oriented only to person and [...]

Case Presentation: A 59 year old woman with history of breast cancer in remission after chemotherapy and radiation presented with intermittent dizziness, palpitations, and chest pain to the emergency room. She developed ventricular tachycardia with troponin elevated to 4.13. She then developed cardiac arrest, and was revived after 20 minutes of CPR. EKG at this [...]

Case Presentation: A 49 year old woman presented to the Emergency Department with abdominal pain and vomiting. No pertinent information was found in her past history or review of systems. Vital signs and the rest of her physical examination was normal except for right upper quadrant tenderness. Laboratory data showed a white blood cell count [...]

Case Presentation: A 63 year‐old Caucasian male presented to the emergency department with progressively worsening, sharp, non‐radiating, right‐sided pleuritic chest pain and right upper quadrant pain. Associated with flu‐like symptoms. Past medical history was significant for well‐controlled diabetes mellitus, hypertension, colon polyps and hyperlipidemia. No recent history of travel, but possible sick contact at work. [...]

Case Presentation: A 64‐year‐old Caucasian female with past medical history significant for RA on infliximab, sarcoidosis, and diabetes, presented to the clinic for an evaluation of a mass on the ulnar aspect of right thumb, which she noticed two months ago. An excisional biopsy revealed granulomatous tissue, thought to be secondary to her sarcoidosis. Her [...]

Case Presentation: A 57‐year‐old female presented to an emergency department after being found naked with confusion, insomnia, falls, tremors and an 80 pound weight loss of weeks to months duration. Past history consisted of hypertension and depression. Social history included being fired from her job of 25 years as a registered nurse due to truancy [...]

Case Presentation: 25 year‐old man was in his usual state of health until he chopped up Opana ER tablets in tap water, heated the solution, then filled a syringe and took “at least 5‐6 hits” into the vein after which he developed fever and overall did not feel well. He presented to outside hospital with [...]

Case Presentation: A 27 year‐old Ethiopian woman presented with indolent weight loss; 3 weeks of post‐prandial abdominal pain and vomiting; and 1 week of dark urine, diarrhea, and itching. The patient’s medical and social history was unremarkable except for a recent visit to Addis Ababa. Physical exam was notable for scleral icterus and epigastric tenderness. [...]

Case Presentation: A 33‐year‐old male with synchronous acute myeloid leukemia M7 (AML) and anterior mediastinal germ cell tumor treated with cytarabine, idarubicin, cisplatin, ifosfamide, and etoposide presented with several weeks of nausea, vomiting and headache (HA). He developed altered mental status (AMS) after hydromorphone administration and experienced a fall. He was transferred for further evaluation. [...]