Case Presentation: A 55 year-old African American woman with history of SLE (on cellcept and plaquenil) and history of cervical cancer (s/p TAH-BSO in 2003) with celiac lymphadenopathy and recently diagnosed hepatic metastases, presented with acutely worsening diarrhea and malaise for 3 weeks prior to admission. She was noted to have diffuse abdominal tenderness on [...]

Case Presentation: A 64-year-old male with past medical history of hypertension (HTN), hyperlipidemia, coronary artery disease, and end stage renal disease, secondary to HTN, on hemodialysis presented with a 3-day history of nonproductive cough and malaise with no other associated symptoms. On admission vital signs were within normal limits; physical exam revealed decreased breath sounds [...]

Case Presentation: A 51-year-old female with a history of asymptomatic sarcoid presented with one day of shortness of breath and a dry cough. The patient was treated two weeks previously for pneumonia after developing shortness of breath that recurred one day prior to admission. The patient denied any fevers, chills, chest pain, palpitations, and sick [...]

Case Presentation:   We present a case of 37y.o.  woman, a  previously healthy visiting scholar from China, who presented with nausea, vomiting, diarrhea and vague diffuse abdominal discomfort . Her initial laboratory results were essentially normal.  Emergency room evaluation concluded viral gastroenteritis and she was released home.  She returned 4 days later complaining of fever and poor appetit, [...]

Case Presentation: 54 y.o female with a pmh of DM and HTN presented with 3 days of fever, chills and left flank discomfort. The patient reported the pain to be indolent in onset, dull and persistent w/o radiation. Fever, chills and anorexia began 2 days after onset of pain.  All other review of systems were [...]

Case Presentation: We present a case of a 77-year-old female with a history of osteoarthritis who presented with a 6 month history of progressive weakness, intractable right hip/buttock pain and anemia of chronic disease. Serum protein electrophoresis (SPEP) did not show monoclonal protein but serum free Kappa and urine Beta-2 microglobulin were slightly elevated.  Because [...]

Case Presentation: A 27-year-old male with no past medical history was seen in clinic for a pre-employment screening and complained of intermittent chest pain that occurred while at rest.  He had a maternal grandfather who had lung cancer and a maternal great grandmother who had an unknown cancer.  He had no significant social history.  On [...]

Case Presentation: A 63 year male with no significant cardiac history presented to our hospital due to attacks of severe right-sided throat pain for 5 weeks.  The pain was described as “sharp” and “stabbing,” with each episode lasting five seconds. These attacks would come in waves, at times up to ten per hour. After these [...]

Case Presentation: We report a case of an asymptomatic 65-year-old Hispanic male with a left neck mass. Ultrasound and fine needle aspiration were compatible with thyroid cancer. He underwent a total thyroidectomy with modified radical left neck dissection. The tumor measured 5 x 3.5 x 2.7 cm, with complete involvement of the left thyroid lobule. [...]

Case Presentation: We present a case of a 46-year-old Hispanic male with history of B-cell Acute Lymphocytic Leukemia, Philadelphia chromosome negative and CD20 positive, on remission, receiving maintenance chemotherapy (6-mercaptopurine, vincristine, methotrexate, and prednisone), with his last infusion given 2 weeks prior to admission. His symptoms included 3-day history of severe dyspnea on exertion, pleuritic [...]