Case Presentation: A 64‐year‐old woman presented with one month of intermittent epigastric abdominal discomfort and loose stools. She also noted a 7‐pound weight loss, poor appetite, fatigue, low‐grade fevers, sweats, dyspnea on exertion, aching bilateral calf cramps, and foot paresthesias. She endorsed occasional alcohol intake but denied tobacco or illicit substance use. Examination revealed pallor, […]

Case Presentation: A 59 year‐old woman presented with 5 days of fever, headache, photophobia, generalized weakness, and intermittent confusion. Vital signs: temperature 40.3 C, pulse 96, respirations 17, and blood pressure 124/76. She was alert and oriented to person, place, and time, but was very somnolent and had difficulty remaining awake. She had no nuchal […]

Case Presentation: A 71‐year old Caucasian female presented with a history of invasive ductal carcinoma of the right breast status post neoadjuvant docetaxel, carboplatin, and trastuzumab followed by a left prophylactic mastectomy and right modified radical mastectomy. The patient is currently undergoing radiation therapy in combination with trastuzumab therapy every 3 weeks. The patient presented […]

Case Presentation: A 77‐year‐old female with a medical history significant for asymptomatic cholelithiasis, diverticulosis and sigmoid resection for a benign mass presented to the emergency department with dull abdominal pain situated in the epigastric region for the past 1 week which she reported was radiating into her chest. Abdominal examination was benign, as well as […]

Case Presentation: 52 year old male with a past medical history of severe coronary artery disease with multiple stents in place and alcohol abuse who initially presented with a 3 day history of chest pain radiating to the neck and left arm. EKG performed in the ER showed a new acute inferior wall ST elevation […]

Case Presentation: A 72‐year‐old woman with no medical history presented with four days of epigastric pain and bloody diarrhea after eating an undercooked hamburger. Vital signs and basic labs were normal. Her abdomen was tender to palpation without rebound or guarding. Abdominal CT revealed diffuse colitis, so ceftriaxone and metronidazole were started. On day three, […]

Case Presentation: We present the case of a previously healthy 49 year old female being evaluated for flank pain. Initial biochemical investigations showed elevated serum calcium level of 11.9 mg/dL and serum creatinine of 3.16 mg/dl. A computed tomographic (CT) scan of the abdomen revealed bilateral obstructive nephrolithiasis and hydronephrosis requiring emergent bilateral ureteral stenting. […]

Case Presentation: A female in her forties presented to her primary care physician with a chief complaint of headaches. She reported that for the past several months she has had progressive fatigue, headaches, and epistaxis. She denied any fevers, chills, weight loss, or night sweats. Her past medical history was significant for a recently diagnosed […]

Case Presentation: GM a 35yo M with a history of pneumonia one year prior presented to our hospital with 6 weeks of cough productive of yellow‐whitish sputum and worsening shortness of breath. He endorsed a 20 lb weight loss over the prior 6 months, but denied night sweats or hemoptysis. On presentation he was febrile […]

Case Presentation: A 25 year‐old female with chronic anorexia nervosa and depression presents with sudden weakness and fatigue. Psychosocial history is notable for binge‐starve cycles over the past year and a decline in overall well‐being. Vitals on presentation were notable for hypothermia, hypotension, and bradycardia. Initial exam was notable for emaciation, lethargy, and lower extremity […]