Case Presentation: A 53 year-old man with a history of Hodgkin’s lymphoma status post splenectomy, mantle radiation, and ABVD chemotherapy, severe aortic stenosis, and moderate mitral stenosis attributed to chemoradiation presented with recurrent fevers and lower abdominal pain. He also reported six years of migratory polyarthritis formerly on prednisone and methotrexate, 45kg unintentional weight loss, [...]

Case Presentation: A 46 year-old man presented with one week of headache and shortness of breath. He also reported generalized fatigue, productive cough, and 40 lb weight loss. There were no sick contacts and review of systems was otherwise negative. He had been diagnosed with thymoma and myasthenia gravis six months prior to admission, at which [...]

Case Presentation: A 27-year-old man with HIV/AIDS was directly admitted to the hospital by his infectious disease specialist for worsening and recurrent headaches accompanied by a multitude of episodic neurologic symptoms, including off-balance sensations, left arm numbness and tingling, left-sided decreased hearing, and slurred speech.  He had a history of shingles five months prior which [...]

Case Presentation: A 26-year-old male with metastatic cecal adenocarcinoma received pre-operative FOLFOX (5-Fluorouracil, Oxaliplatin, leucovorin) for 4 cycles followed by cytoreductive surgery with hyperthermic intraperitoneal chemotherapy 9 months earlier. Post- operatively he received FOLFOX and bevacizumab 5mg/kg for 8 cycles, biweekly. His baseline creatinine prior to chemo was 0.7 mg/dl. 2 weeks after the last [...]

Case Presentation: 43 year old HIV positive, type I diabetic female (on lopinavir-ritonavir, efavirenz; last CD4 count 942; negative viral load), presented to Emergency Department (ED) with lower back pain radiating bilaterally to buttocks for one week. Physical examination revealed paraspinal tenderness, intact rectal tone and saddle sensation, no motor weakness. Magnetic Resonance Imaging (MRI) [...]

Case Presentation: An otherwise healthy 58 year-old female presented to the emergency department (ED) from her primary care physician’s (PCP) office with new onset bradycardia, heart block, and a progressive rash. Two weeks prior at a 4th of July party a friend noticed new rashes on her right arm, left hip, and in the center [...]

Case Presentation: A 51-year-old male with a history of recent pneumonia and cocaine use (most recently 4 weeks prior) presented to the emergency department for shortness of breath. Exam demonstrated decreased left sided breath sounds with x-ray confirming left lower lobe consolidation and effusion.  Labs revealed neutropenia and a negative urine drug screen.  Neutropenia was [...]

Case Presentation: A 68-year-old man presented with worsening abdominal distention, lower extremity edema and shortness of breath 8 weeks after undergoing uneventful aortobifemoral bypass graft (AFBG). The patient was cachectic man, who had significant abdominal distention from ascites confirmed with ultrasound, right lung dullness with decreased air entry due to pleural effusions and bilateral lower [...]

Case Presentation: A 37-year-old woman with significant history of intravenous substance abuse, six-year-old mechanical mitral valve replaced for mitral regurgitation and non-adherence to medications presented with shortness of breath and fever (103 F). She was hypotensive (84/64mmHg) and tachycardic (130/minutes). She was intubated and mechanically ventilated for acute respiratory failure. Lab results were remarkable for [...]

Case Presentation: A 45 year old AA Male with PMHx of hypertension and ESRD on HD for 10 years with severe (8/10), diffuse epigastric pain associated with nausea, vomiting, high fever and chills for 2 days. ROS was positive for bloody diarrhea, SOB at rest, blood tinged sputum when coughing, altered sensorium and diffuse joint [...]