Case Presentation: Ms. S is a 64 year old woman recently diagnosed with multiple myeloma following a hip fracture and repair, who was transferred from an outside hospital for hematochezia. She was admitted to the outside hospital from a skilled nursing facility for presumed post-operative ileus complicated by nausea and vomiting. During that stay, she [...]

Case Presentation: A 24-year-old man with no known past medical history presented with a one week history of nightly fevers to 38.8-39C. Two weeks prior to presentation, he spent the weekend at Fire Island in Long Island, NY at a log cabin where he had a BBQ dinner. One day later he experienced severe abdominal [...]

Case Presentation: A 33 year-old female with a history of alcohol abuse presented to our emergency department with a four day history of abdominal pain, nausea, and vomiting.  This was preceded by intake of 1/5 of vodka for what she reported as an extended period of time.  Vital signs were remarkable for tachycardia and tachypnea.  [...]

Case Presentation: An 82 year-old woman with past medical history of diabetes and hypertension presented with left lower extremity swelling and fever for 1 day. The patient noted gradual development of leg swelling over 24 hours in association with pain and erythema. She also reported watery diarrhea and nausea. Initial set of vitals revealed tachycardia. Her [...]

Case Presentation: A 46-year-old Hispanic male with no significant past medical history presents with acute onset of headache, nausea, and vomiting for the past day, preceded by six months of progressively worsening peripheral vision and blurry vision in the right eye. Patient described a right-sided headache that became generalized and worsened within a few minutes [...]

Case Presentation: A 42-year-old African-American G8P5 woman with no significant past medical history developed tongue swelling the day after a preterm labor induction due to hydrops fetalis. The swelling initially resolved on the same day and the patient was discharged. However, during the following weeks, her tongue swelled almost every day. By the seventh week, [...]

Case Presentation: A 40 year old woman with history of stroke at age 35 was admitted from an outside hospital with a CT-PE scan showing diffuse “osteoblastic” lesions and bilateral axillary lymphadenopathy. She complained of progressive weakness and painful paresthesias in her upper and lower extremities, diffuse body swelling, and a 100-lb weight loss all [...]

Case Presentation: 45-year-old male presented with complaints of progressive shortness of breath, dry cough and pleuritic chest pain for the last 3 weeks. He was homeless, HIV-positive since 1992 but noncompliant with HAART. On physical examination patient was afebrile, hypotensive with blood pressure 85/55 mmHg, pulse rate of 98 beats per minute and SaO2 of [...]

Case Presentation: A 29-year-old female presented with right femoral fracture after twisting her leg. One month prior she saw orthopedic surgery for foot pain. She was referred to endocrinology after DEXA scan showed severe osteoporosis with T score of -4.1. She also had elevated calcium and parathyroid hormone (PTH) and undetectable Vitamin D levels. Sestamibi [...]

Case Presentation: A 61 year old male with a history of hiatal hernia, paroxysmal atrial fibrillation on aspirin, hypertension, and diverticulosis presented with non-bloody emesis and blood-tinged diarrhea. He reported many sick contacts with similar symptoms. The patient was admitted to the hospital for dehydration secondary to presumed gastroenteritis. Upon admission, patient complained of increased [...]