Case Presentation: The epidural space is a well‐known, albeit uncommon, location for lymphomatous involvement. We present a Hispanic man with an initial complaint of upper abdominal pain that progressed to a posterior spinal canal compression syndrome caused by B‐cell non‐Hodgkin lymphoma. Discussion: A 55‐year‐old Hispanic man presented with 3 months of intermittent severe epigastric pain [...]

Case Presentation: A previously healthy 65‐year‐old man presented to Dartmouth‐Hitchcock Medical Center with 3 months of decreased energy, dyspnea, and fever. The patient was afebrile and normotensive but required 100% O2 by face mask. His exam was notable for globally decreased breath sounds and diffuse rhonchi. A CXR revealed a left‐sided pneumothorax, and follow‐up CT [...]

Case Presentation: A 53‐year‐old man with a history of emphysema and hepatitis C presented with a 4‐month history of dyspnea and weight loss. He had a 35‐pack‐year smoking history and reported intravenous heroine abuse 30 years previously. A chest x‐ray showed a density close to the right heart border and a CT scan confirmed a [...]

Case Presentation: An 89‐year‐old with stage 0 CLL and a history of stage III colorectal cancer treated with hemicolectomy and capecitabine in 2003 was admitted to the hospital in 2006. She felt dehydrated, nauseated, and constipated. For 4 days prior to admission, she felt unable to initiate urination. She denied fevers, chills, abdominal pain, or [...]

Case Presentation: A 63‐year‐old white woman presented with a 3‐week history of painless jaundice, pruritus, and weight loss. She was a former smoker with a family history of colon cancer. The exam was unremarkable, except for generalized jaundice. Laboratory tests: AST 147, ALT 275, alkaline phosphatase 555, total bilirubin 16.6, albumin 3.5, LDH 299, lipase [...]

Case Presentation: An 88‐year‐old man presented to the emergency room with respiratory distress, severe leukocytosis, and a large loculated effusion with an air‐fluid level in the left hemithorax. He was intubated and started on broad‐spectrum antibiotics. A pigtail catheter was inserted, yielding purulent material. Fluid cultures were positive for Prevotella oralis. Drainage decreased, and the [...]

Case Presentation: A 68‐year‐old Filipino man with a medical history of COPD, tobacco abuse, and transient ischemic attacks, presented to an outside hospital with complaints of change in mental status, an approximate 30‐pound weight loss over 2 months, an unsteady gait, and diffuse weakness. The patient's wife described a chronic cough and memory problems. An [...]

Case Presentation: A 25‐year‐old woman presented to the ED with a 3‐month history of worsening abdominal distention. She had previously been diagnosed with “belly fluid” and was treated with Lasix. She denied any weight loss, cough, fevers, night sweats, or travel. Afebrile on presentation, her exam was significant for abdominal ascites without masses, organomegaly, and [...]

Case Presentation: A healthy 65‐year‐old man with history of high‐risk sexual activity presented to the ED with 5 days of oligoarthritis. The patient was in Florida 1 week prior to admission, when he developed URI symptoms. The day prior to admission, he developed pain and swelling in his left foot and right wrist, subjective fever, [...]

Case Presentation: A 24‐year‐old male patient with bipolar disorder presented with his family to the emergency room with complaints of dyspnea and palpitations. He was diaphoretic and a poor historian. An electrocardiogram revealed diffuse ST‐T wave changes; thus, the hospitalist was asked to see and admit this patient for the management of pericarditis. On further [...]