Case Presentation: Case:  A 72 year old African American presented to the Veterans Affairs Medical Center in Washington, D.C. with dyspnea on exertion and lower extremity swelling. He was in his normal state of health until 4-5 weeks prior to admission, when he began to notice increased abdominal girth, lower extremity swelling and shortness of […]

Case Presentation: A 65-year-old female was admitted to the hospital with weakness and difficulty ambulating. One year prior, she underwent revision of a previous right hip arthroplasty, and the femoral components were replaced with a cobalt prosthesis. Three weeks prior, she was hospitalized for subacute shortness of breath and was found to have pulmonary emboli […]

Case Presentation: We present an interesting case of troponemia in a patient with acute stroke that was initially treated as Non-STEMI but eventually turned out to be a presentation of neurogenic myocardial stunning. 71-year-old male with no significant cardiac history presented to our hospital with complaints of acute onset of confusion. Evaluation with MRI of […]

Case Presentation: A 33-year-old asthmatic female presented with a one-day history of productive cough and dyspnea. She reported occasional blood tinged sputum on the day of admission. Clinical exam revealed crackles on the right side. CXR showed mild patchy opacities. Therapy for possible pneumonia was initiated. The patient’s clinical status deteriorated within a few hours.  […]

Case Presentation: A 28-year-old male presented with a 10-year history of intermittent post-prandial abdominal pain and fullness, forcing him to adopt a fetal position. He denied alcohol, tobacco, marijuana, or NSAID use. He reported worsening of pain in the last few months leading to 30-pounds of weight loss. Physical examination was unremarkable. Metabolic profile, CBC, […]

Case Presentation: : A 60 year old man presented for the third time with acute worsening of back pain and lower extremity weakness, night sweats, and weight loss. During the first similar presentation 3 three months prior, he was found to have MSSA bacteremia related to dental extraction. A CT scan at that time showed […]

Case Presentation: A 42 year-old woman with a history of hypothyroidism, remote type II diabetes mellitus, and premature ovarian failure (POF) presented to the Emergency Department of an academic community hospital with the one day of diffuse myalgias, nausea, and vomiting. Her only medication changes were notable for the recent initiation of levothyroxine for hypothyroidism. […]

Case Presentation: A 61-year-old male farmer presented to the emergency department with dyspnea and left upper quadrant abdominal pain of 3 days duration. He also noted fevers, chills, and night sweats. He recollected removing multiple ticks recently. He was febrile at 38.3ºC. Laboratory abnormalities included transaminitis and pancytopenia. Review of a peripheral blood smear revealed […]

Case Presentation: A 45 year old, homeless man with poly-substance use disorder, schizoaffective disorder, and hypertension, was brought in by police for assaultive and hypersexual behavior and admitted to the psychiatry service, where he was started on clozapine and given an accidental second injection of haloperidol decanoate soon after his first. Two weeks later, the […]

Case Presentation: This is the case of a 52-year-old Korean female diagnosed with non-invasive high-grade papillary urothelial carcinoma. Due to unknown reasons, she refused initial tumor resection and opted for alternative medical therapy. Unfortunately, the progression of the tumor worsened to the point of complete obstruction of the ureters with the urgent need of bilateral […]