Case Presentation: A 63–year–old man with type 2 Diabetes and recent diagnosis of high grade Myelodysplastic Syndrome, presented with one week of progressive left eyelid swelling and erythema. He had an associated clear discharge and left–sided temporal headache. He denied fevers, eye pain, vision loss or any recent upper respiratory or sinus infections. Physical exam [...]

Case Presentation: A 25–year–old Asian Indian male studying in Poland presented with pain, swelling and drainage from the right clavicular area of 15 days duration limiting his activity. Four months ago, he was diagnosed with abscess at the right sternoclavicular joint for which he underwent incision and drainage and was doing fine until the current [...]

Case Presentation: A 55–year–old male with hypertension and polysubstance abuse presented after 3 days of bilateral flank and epigastric abdominal pain and chills. He was afebrile and exam revealed clear lungs, regular rhythm, no heart murmurs and mild costovertebral angle tenderness. Besides leukocytosis, the urinalysis, metabolic panel and pancreatic enzymes were unremarkable. Blood cultures grew [...]

Case Presentation: A 42–year–old Hispanic male, butcher by occupation with a history of alcohol abuse, presented with a 6–day history of epigastric abdominal pain, diarrhea and fevers. Vital signs showed fever and mild tachycardia. Laboratory analysis showed white blood count of 9.3, hematocrit 44, platelets 100, 19% bands, lipase 510. Ultrasound of the abdomen showed [...]

Case Presentation: A 35–year–old bisexual African–American male presented with complaints of a rapidly progressing rash over 2 weeks associated with fatigue. The rash began on his palms, but later appeared on his soles. He denied any pruritus, pain or discharge associated with the rash. He also denied any symptoms of dysuria, arthralgias or eye irritation. [...]

Case Presentation: A 34–year–old man with history of myocardial infarction, polysubstance use, hepatitis C, and lumbar disc disease presented with severe back pain and extremity weakness. The patient is a martial arts fighter who was restricting fluids to make a lower weight class. During a match, he suffered repeated blows to the back. Afterward he [...]

Case Presentation: A 31–year–old man with no past medical history presented to the emergency department with 3 weeks of shortness of breath and yellowing of the skin. The symptoms acutely worsened 4 days prior to admission after suffering a burn to his forearm. He was febrile and tachypneic with scleral icterus, exophthalmos, and marked hepatomegaly. [...]

Case Presentation: A 72–year–old male admitted for progressive shortness of breath with pleuritic chest pain for 2 days. He noted weight loss of 25 lbs in the past 6 months. Past medical history includes hypertension and COPD with a 15 pack year smoking history. Chest exam was normal. Discussion: Chest X–ray had air space pneumonia [...]

Case Presentation: A 55–year–old male with a 20 pack year smoking history was diagnosed with stage IIIA (T2N2M0) non small (non squamous) cell carcinoma of the upper lobe of the left lung after presenting with weight loss and hemoptysis. He also complained of episodic sharp pain radiating down his right thigh over several weeks. While [...]

Case Presentation: A 28–year–old African American male, recently diagnosed with HIV (CD4 count 12 cells/mm3) was admitted with a history of fever of 2 weeks duration. On exam, he had high grade fever of 38.50 Celcius along with hepatomegaly. Laboratory studies showed pancytopenia with a hemoglobin of 6.9 g/dL with normal RBC indices, WBC count [...]