Case Presentation: AIDS‐related Kaposi’s sarcoma (KS) is an angioproliferative malignancy that typically presents as asymptomatic, hyperpigmented, raised lesions on the skin. The disease is uncommon in individuals with CD4 counts over 200 and less often seen in women. However, KS can involve visceral tissue and present itself in much more dramatic fashion. We present a [...]

Case Presentation: An 83‐year‐old female with chronic abdominal pain presented to the hospital with recurrent worsening of her abdominal pain. Her pain was cramping, intermittent and associated with constipation. Tylenol with codeine did not relieve the pain. The patient had been admitted for abdominal pain multiple times in the past year. Previous work‐up included two [...]

Case Presentation: The patient is a 27 year old male with no past medical history who presented to our Emergency Department, part of a large urban/suburban tertiary care center. He complained of left upper arm swelling, pain and an ulcerated lesion with serosanguinous drainage for three weeks and high fevers for one week. No trauma, [...]

Case Presentation: A 54 year‐old woman presented with 4 days of sharp epigastric pain that radiated to her back. She reported a recent upper respiratory tract infection that resolved prior to admission. She was febrile to 100.6 F, tachycardic, and had epigastric tenderness on exam. A complete blood count, chemistries, liver function tests and lipase [...]

Case Presentation: A 74‐year‐old woman resides in Ohio presented with intermittent dyspepsia, 30‐ lbs. weight loss and decreased appetite for 1 month duration. She denied any fever. EGD revealed duodenal ulcer and biopsy was positive for H. pylori. Colonoscopy exam was unremarkable. She was treated with omeprazole, amoxicillin and clarithromycin. Her condition improved partially, but [...]

Background: A 26 year old male presented to the emergency department (ED) in western North Carolina with three day history of progressive shortness of breath, productive cough (of yellowish‐greenish sputum), chills, sweats, subjective fever and a four week history of intermittent headache and generalized malaise. Initial work‐up in the ED revealed a creatinine of 8.95 [...]

Case Presentation: A 66‐year‐old male with a past medical history of type II diabetes mellitus presented to the emergency room with one week of headache. He was initially diagnosed with sinusitis based on imaging results and negative ophthalmic examination. Three days after initial evaluation, he developed acute loss of vision in his right eye and [...]

Case Presentation: A 23 year‐old Japanese male with a past medical history of Kikuchi disease (Histiocytic Necrotizing Lymphadenitis) presented with fever, malaise and left axillary lymphadenopathy. 25 days before admission, he felt his left axillary lymphnode was swollen and he had a mild grade of fever. He felt pain in his left axilla which was [...]

Case Presentation: A 71 year old female with a past medical history of diabetes, hypertension, and alcohol abuse presented with several months abdominal pain, increasing abdominal girth, weight loss and bilateral lower extremity swelling. An abdominal paracentesis demonstrated a transudative ascites without evidence of spontaneous bacterial peritonitis or malignant cells. An abdominal ultrasound revealed chronic [...]

Case Presentation: A 64 year old male with a past medical history of congenital bladder exstrophy and ureterosigmoidostomy at 5 years of age with multiple subsequent revisions, recurrent urinary tract infections and a hospitalization for diverticulitis complicated by bowel obstruction a month prior presented to our emergency department after a motor vehicle accident due to [...]