Case Presentation: A 61 year old African American man with past medical history of hyptertension, diabetes mellitus type 2, chronic kidney disease stage 3, remote intravenous drug use, Hepatitis C presented with worsening hypertension, new onset bilateral lower extremity swelling and worsening kidney function since one month. Patient reported weight gain and urinary frequency at home but [...]

Case Presentation: A 63 year old African-American Male with a history of well-controlled hypertension and hyperlipidemia presented with a four day history of new-onset lower extremity, upper extremity, and abdominal swelling. He denied shortness of breath, chest pain, orthopnea, and constitutional symptoms, but did report occasional non-drenching night sweats. He reported being otherwise healthy with no known history of [...]

Case Presentation: A 33 yo male with PMH of AIDS and disseminated mycobacterium avium complex (MAC) presented with 1.5 weeks of sudden, bilateral hearing loss.  The hearing loss was symmetric, non-progressive, and he reported difficulty hearing voices and low-frequency sounds. He denied associated headaches, vertigo, visual disturbances, or any recent illnesses, fever, or nuchal rigidity. Patient [...]

Case Presentation: A 70-year-old male former smoker with diabetes mellitus and hypertension presented with cognitive impairment, lower extremity edema, weakness, and 20-pound weight loss over two months. The patient was alert and oriented but had word-finding difficulty. He denied fever, chills, cough, dyspnea, or chest pain. Exam revealed intermittent hypertension, flushing, diaphoresis, hyperpigmented upper extremities, [...]

Case Presentation: An 84-year-old female with a past medical history of Sjogren’s syndrome, cutaneous vasculitis and rheumatoid arthritis on methotrexate presented with a three day history of oral pain associated with mild pruritic rash and fatigue. She denied fevers, chills, dry eyes, dry mouth, oral bleeding and arthralgias. Her recent history was significant for an esophagogastroduodenoscopy [...]

Case Presentation: A 27 year-old woman who is approximately 10 weeks pregnant presents with 8 week history of dry cough, shortness of breath, and mediastinal pain, worsened dramatically in the last 3 days. She was evaluated in an urgent care center about 4 weeks prior complaining of the cough and reduced exercise tolerance, and she [...]

Case Presentation: 53 year old male with a history of alcohol abuse presented to the ED with hyponatremia and elevated LFTs after a week of nausea, vomiting, and diarrhea. The patient had a previous drinking history of a 12-pack of beer per day, denied IV drug use and any recent travel outside of Texas. Determined [...]

Case Presentation: A 75-year-old man with diabetes mellitus and recently detected pancreatic “cancer” presented with abdominal pain, vomiting and significant weight loss.  Two weeks prior he presented to another hospital with laboratory values indicating obstructive jaundice and initial concern for pancreatic cancer.  No mass was seen by Computed Tomography (CT) of the abdomen and pelvis.  [...]

Case Presentation: A 54-year-old female with hypertension and tobacco use presented with two months of new onset constipation and progressively worsening, diffuse, generalized abdominal pain, early satiety, and a 30-pound weight loss. She was found to be anemic. A colonoscopy was performed that was unremarkable. Two months later, with no symptomatic improvement with laxatives, she [...]

Case Presentation: A 19-year-old female with mild persistent asthma, borderline personality disorder, and substance abuse presented with three days of a non-productive cough and dyspnea. She endorsed generalized malaise and body aches, without fever or chills. In the emergency department she was tachypneic and hypoxic to 87% on room air. A chest X-ray showed a [...]