Case Presentation: A 45-year-old woman with a Glasgow Coma Scale score of 7 was admitted to our hospital because of impaired consciousness. On the day of admission, she appeared well and was performing her routine work until approximately 6 pm. At 9 pm, her husband found her lying unresponsive on the bed, and she was […]

Case Presentation: A 90 year-old man presented with three weeks of progressive weakness and jaundice. He denied abdominal pain, nausea, vomiting or changes in stool color. He denied recent travel or sick contacts. His past medical history was significant for hypertension and osteoporosis, for which he was prescribed losartan and alendronate. There were no changes […]

Case Presentation: A 52-year-old man presented with bilateral foot pain worsening on the left preventing him from ambulating. He recalled developing frostbite of all ten toes 4-5 months prior to admission, when at that time, he was admitted to a local hospital and underwent right transmetatarsal amputation but did not follow-up with his wound care. […]

Case Presentation: A 62 year old male with history of rapidly progressive glomerulonephritis due to anti-glomerular basement membrane (anti-GBM) disease who remains dialysis dependent after failing to respond to steroids and plasmapheresis eight months ago presented with two months of worsening vision and frontal headaches. The patient also has chronic systolic heart failure with an […]

Case Presentation: 67 year old man presented to the emergency room with syncope and melena. He was recently diagnosed with cirrhosis by biopsy. His cirrhosis was attributed to NASH. For several weeks, he noted intermittent black stools, which became constant. He was admitted for fall after he passed out while having a bowel movement. While he denied any abdominal pain, […]

Case Presentation: BM is a 37 y.o. male with a past medical history significant for irritable bowel syndrome. He presented to Maine Medical Center from a rheumatology office with the chief complaint of left lower extremity swelling. Patient reported the swelling developed 3 weeks after being struck by his dog in the leg and few […]

Case Presentation: A 44-year-old African American female patient was admitted with fatigue and anorexia from an outpatient clinic visit after she was found to be profoundly anemic with hemoglobin of 6.8 g/dL. She endorsed a history of chronic anemia of unknown etiology, was prescribed oral iron on several occasions but did not take it due […]

Case Presentation: A 55-year-old man with gastroesophageal reflux disease and prostate cancer status post radical prostatectomy presented with a 3-year history of non-healing skin ulcerations. He was initially diagnosed with vasculitis and started on immunosuppressive therapy. Skin lesions worsened despite high dose steroids and different immunosuppressive medications (methorexate, mycophenolate, azathioprine, cyclophosphamide). On presentation, skin examination […]

Case Presentation: A 67 year-old man with history of transient ischemic attack, coronary artery disease, and peripheral artery disease status post aorto-iliac graft in 1994 presented with intermittent fevers, chills, and intense rigors. Symptoms started following a dental procedure 6 months earlier after which he was diagnosed with streptococcus anginosus bacteremia. Continued fevers prompted trans-esophageal […]

Case Presentation: A 56 year old caucasian male with extensive sarcoidosis of the lungs, heart, pancreas and liver had a surveillance 6 month CT scan of the chest+abdomen+pelvis to look for disease progression. Incidentally, he was found to have pneumatosis of the hepatic flexure of colon with surrounding pneumoperitoneum in the absence of associated inflammatory […]