Case Presentation: 62 year-old HIV positive man with Hepatitis B co-infection was admitted to the internal medicine service for self-neglect and profound deconditioning resulting in a fall and subsequent fracture of right tibia and fibula 2 months prior to presentation. The patient had no acute complaints at admission, and ROS was unrevealing except for generalized [...]

Case Presentation: 40 year old male patient with known history of IVDU and Hepatitis C infection presented with shortness of breath, worsening bilateral weakness in his lower limbs and difficulty walking for two weeks prior to admission. On initial exam, patient had rhonchi and lower limb weakness (4/5). Labs were within normal limits. Patient had [...]

Case Presentation: A 30 year-old Hispanic male with no past medical history was brought to ER status post fall after sudden onset of muscle weakness in extremities. He experienced mild intermittent muscles cramps and soreness while he was driving a car prior to the onset of the weakness. He had history of similar but lower [...]

Case Presentation: 77 year old man with history of renal cell cancer status post ablation a year ago presented to primary care physician with difficulty swallowing and weight loss for 3 weeks. Examination was normal. Routine labs showed thrombocytosis to 1170×10⁹ with platelet count of 300×10⁹ a month ago. He was referred to the emergency [...]

Case Presentation: A 78-year-old white female with sarcomatoid mesothelioma status post gemcitabine and carboplatin presented to an urgent care center with sudden onset of low grade fever and fatigue. She reported a puppy bite 1 week earlier. Examination revealed ½ cm ecchymosis on left forearm at bite site. She was sent home on oral levaquin [...]

Case Presentation: A 24 yr old male with PMH significant for uncontrolled DM and Hepatitis C presented with left sided flank pain and dark urine for 2 weeks. Lab workup was significant for leukocytosis and a negative UA. CT Abdomen showed left sided hydronephrosis, retroperitoneal adenopathy. Retroperitoneal adenopathy was believed to be the cause of [...]

Case Presentation:  46 year-old-male with no past medical history presented with 1-day-history of dyspnea on exertion, productive cough, and fever. The patient also complained of several weeks of generalized weakness and lower back pain radiating down his legs. Upon initial evaluation, a chest x-ray was normal and a rapid viral panel was positive for human [...]

Case Presentation: A 70 year-old Moroccan male with a history of gastrointestinal stromal tumor treated with resection and chemotherapy was admitted for dyspnea on exertion and non-productive cough for two weeks. He complained of subjective fevers and weight loss of 47 pounds in 6 months but denied hemoptysis. Lab studies were significant for leukocytosis at [...]

Case Presentation: A 36-year-old healthy woman with no past medical history presented to the emergency department with generalized purpura and petechiae. She also reported 4 month long history of painless right-sided neck swelling, drenching night sweat and unintentional significant weight loss. Her examination revealed bilateral cervical lymphadenopathy and splenomegaly. Labs showed platelets of 5 K/UL [...]

Case Presentation: A 72 year old man with stage 4 metastatic prostate cancer, on Abiraterone acetate and prednisone status post bilateral orchiectomy presented with severe hypocalcemia at 5.2mg/dL. Patient denied muscle twitching or cramping, nausea, vomiting, confusion, or gait instability. EKG showed QTc prolongation at 0.507seconds. Physical exam was negative for Chvostek and Trousseau’s sign. [...]