Case Presentation: A previously healthy 77 year-old woman with a history of porcine mitral valve repair (MVR) presented with left knee pain.  Three weeks prior to admission she experienced general malaise and intermittent chills. She then fell resulting in left knee pain and presented three days later due to inability to walk. On examination, she [...]

Case Presentation: A 30-year-old woman with a history of a renal transplant for lupus nephritis presented with ten days of painful urination, pain over her transplanted kidney, and “hawaiian punch” urine. She also complained of chills and headache and became febrile on the day of presentation. The patient reported compliance with her immunosuppressive regimen, prednisone, [...]

Case Presentation: A 58 year-old Hispanic woman presented to an outside hospital with a one-day history of right upper quadrant abdominal pain. The pain was 8/10 in severity, sharp in nature, and radiated to her lower abdomen. Her past medical history was significant for alcoholic cirrhosis for which she underwent liver transplantation 10 years prior. [...]

Case Presentation: A 74 year old female with a history of atrial fibrillation presented to the emergency room due to a 1 week history of respiratory distress.  She was tachypneic (respiratory rate = 24) and her room air oxygen saturation level was 91 per cent.  Diminished breath sounds in the lower third of her left [...]

Case Presentation: A 64-year-old man with a past medical history of coronary artery disease, type 2 diabetes, hyperlipidemia, and hypertension presented to the Emergency Department with severe, sharp, crampy abdominal pain. The pain was associated with nausea and vomiting and had progressively worsened over the last 7 days. He denied any chest pain or shortness [...]

Case Presentation: A generally healthy 36 year old female began experiencing stiffness in her lower back with persistent aching pain. The discomfort progressively worsened over several weeks prompting multiple emergency room visits. She began to complain of severe leg spasm at the time of her admission to the hospital. Her CPK level was markedly elevated [...]

Case Presentation: A 59-year-old male with a bicuspid aortic valve presented to the hospital with a syncopal event. One week earlier, a transesophageal echocardiogram (TEE) done for preoperative assessment had confirmed a heavily calcified bicuspid aortic valve and severe aortic insufficiency. He also reported 2 months of night sweats without fevers, 25-pound weight loss, and [...]

Case Presentation:  A 91 year-old male with a PMH of prostate cancer status post transurethral resection of the prostate and external beam radiation therapy twenty years prior, radiation prostatitis, intermittent hematuria, and chronic constipation presented to the hospital with worsening lower abdominal pain that radiated to his back for 3 months duration. Abdominal exam was [...]

Case Presentation: A 47-year-old Caucasian woman presented with severe vomiting and abdominal pain for three days. Her past medical history revealed that she was diagnosed in 2010 with ulcerative colitis proctitis and was recently started on azathioprine. In the past, she had received a short course of steroids, but was complicated by an increase in [...]

Case Presentation: Patient 1. A 71-year-old woman with no significant past medical history presented to the emergency department with 3 weeks of general malaise and subjective fevers after a trip to Connecticut. Her exam was notable for hypotension, as well as pallor of the skin and conjunctiva. Laboratory evaluation revealed a hemoglobin of 7.8 g/dL, [...]