Case Presentation: A 37‐year‐old male with AIDS (CD4 104) presented with progressive fatigue, associated with diarrhea, nausea, palpitations, and episodes of intermittent slurred speech for two months. Physical exam was unremarkable with the exception of 4/5 strength in all four extremities. Laboratory data revealed anemia (hgb 10g/dL) thrombocytopenia (44K/uL), hypercalcemia (12.4mg/dL), elevated lactate dehydrogenase (LDH [...]

Case Presentation: A 73‐year‐old woman with a history of peptic ulcer disease and gastroesophageal reflux presents with severe sharp epigastric pain. Patient notes severe burning pleuritic substernal chest pain with radiation to the back and pain with swallowing. Patient notes no radiation to the left arm or jaw, shortness of breath or palpitations. Patient reports [...]

Case Presentation: We report a case of severe optic disc swelling in a patient on anastrozole therapy for breast cancer using Spectral Domain optical coherence tomography (OCT). A 56 y/o female with early stage breast cancer, stage IA grade 1 endometrial cancer and stage IC grade 1 ovarian cancer, s/p four cycles of carboplatin and [...]

Case Presentation: A 50‐year‐old male presented with two days of left lower back pain, vomiting, and dark urine. He described the pain as dull, persistent and extending from the left lower back to the upper and lower quadrants of his abdomen. Along with a history of hematuria and joint pains, he also endorsed a reddish [...]

Case Presentation: The Surviving Sepsis Campaign has defined the best approach to patients with suspected sepsis. The diagnosis of sepsis requires clinical and laboratory findings and a potential source of infection. Therapeutically, the approach focuses on resuscitation and the critical step of empirically selecting appropriate antibiotics. The selections are usually broad and focus on the [...]

Case Presentation: A forty‐three year‐old woman presented with anorexia, fatigue, and a fifty‐pound weight loss over three months. She reported inability to tolerate food due to nausea, vomiting, and diarrhea with every meal. She denied abdominal pain, hematemesis, melena, and hematochezia. She did endorse vaginal spotting for several weeks. Surgical history included open total hysterectomy [...]

Case Presentation: A 57 year‐old female with a history of seizure disorder and of recurrent urinary tract infections on nitrofurantoin suppression regimen presented with three day history of increasing confusion and jaundice. She had no history of alcohol abuse. Although she had not been on any new medications, the dose of nitrofurantoin was increased after [...]

Case Presentation: 68 year old man with history of hypothyroidism, hypertension and longstanding history of allergic rhinitis, and asthma who presented with a 4 day history of subjective fevers and lower extremity numbness. The numbness extended from his feet up to the mid‐calf region. He denied low back pain, stool or urine incontinence. He denied [...]

Case Presentation: A 40‐year‐old woman with no past medical history presents to the hospital complaining of severe neck pain, headache, fever, malaise, and shortness of breath with pleurtic chest pain. Her symptoms were preceded by a sore throat of increasing severity for 48 hours. Two other family members had experienced a similar sore throat without [...]

Case Presentation: A 34‐year‐old previously healthy male presented to an outside facility with rapidly progressive ataxia and encephalopathy over several months. CSF analysis showed slightly elevated protein, with no oligoclonal bands. Brain MRI showed scattered enhancing parenchymal lesions and leptomeningeal enhancement. Brain biopsy was nonrevealing. He was initially diagnosed with multiple sclerosis and placed on [...]