Case Presentation: A 51–year–old Mexican female, with past medical history of hypothyroidism, rheumatoid arthritis, nephrolithiasis, and GERD, presented to our ED with abrupt, sharp, epigastric pain, increasing in intensity and radiating to the back. Pain started after Thanksgiving dinner with associated nausea and four episodes of emesis. Patient denied fever, chills, or similar previous episodes. [...]

Case Presentation: A 17–year–old Caucasian female presented to our hospital with complaints of severe, throbbing, fronto–temporal headache for 5 days; associated with photophobia, nausea and non projectile vomiting. There was an isolated episode of 102°F fever two days prior, without any chills or rash. There was no history of seizures or altered mental status. There [...]

Case Presentation: A 51–year–old uninsured African American female with no past medical history presented to clinic with bilateral leg swelling, generalized weakness and unintentional weight loss. Her exam was notable for temporal wasting, conjunctival pallor, diffuse lymphadenopathy, splenomegaly and 3 + pitting edema to her knees. She was found to have a hemoglobin of 6.6 [...]

Case Presentation: A 71–year–old woman with diabetes, hypertension and GERD presented with massive hematemesis and syncope. She was a former smoker who drank alcoholic occasionally. Seven months earlier she has mild pancreatitis without gallstones (edema marginating the pancreas and the second portion of duodenum without vascular abnormalities and lipase 165 U/L [114–286 U/L]). Her medicines [...]

Case Presentation: A 62–year–old male with a history of hypertension and dyslipidemia presented to the emergency room with distal extremity paresthesia and proximal muscle weakness. Ten days prior, he noticed dysuria and tried over–the–counter phenazopyridine without relief. He was seen by his physician, who prescribed ciprofloxacin for urinary tract infection. On day 1 of ciprofloxacin, [...]

Case Presentation: RB was a 6 week old full term infant who presented with lack of expected weight gain. Birth weight was 2.6 kg (3%) and her admit weight was 2.47 kg (3 Standard deviations below the mean). Her OFC and length both dropped from the fiftieth percentile to the third. She was a 39 [...]

Case Presentation: An 80–year–old female presented with a 2 day history of intermittent left lateral rib and chest pain. She denied any acute or chronic headache or visual changes. Overall, she appeared well. Vital sign was significant for bradycardia (HR = 43) and she had a normal physical examination. Electrocardiogram was significant for sinus bradycardia [...]

Case Presentation: A 57–year–old man presented acutely after being awoken from sleep with shortness of breath. He had no associated or prodromal symptoms, and no gastrointestinal complaints. Review of systems revealed significant weight loss, with waist size decreasing from 42 to 32 inches in 3 years. There was no family history of malignancy. Vital signs, [...]

Case Presentation: A 26–year–old Hispanic female without significant past medical history presented with new–onset diabetic ketoacidosis. She was admitted, and blood sugars and metabolic derangements quickly normalized with insulin and intravenous fluids. Physical examination on repeat assessment was notable for a systolic ejection murmur at the left upper sternal border with a prominent split of [...]

Case Presentation: A 53–year–old female presented with complaints of watery bowel movements every 30 minutes for several days. Although previously plagued with chronic diarrhea, it had resolved 1 month prior with cessation of alcohol abuse. At presentation she was afebrile, tachycardic, and found to have severe volume and electrolyte deficiencies for which she was admitted. [...]