Case Presentation: A 44–year–old woman with a past medical history of reflux presented with jaundice. Ten days prior to presentation, she noticed dark urine but did not seek medical attention. Five days prior, she developed jaundice, fatigue, and a cramping pain in her epigastric region and right upper quadrant. She denied fever, chills, cough, sore [...]

Case Presentation: A 20–year–old woman with a history of Crohn’s disease and a Mallory Weiss tear presented with hematemesis. One month prior to presentation she was admitted to another institution with black, tarry stools. She received multiple blood transfusions; a peripherally inserted central catheter was placed and parenteral nutrition started. Subsequently, hematemesis with left upper [...]

Case Presentation: A 61–year–old African American man with long history of diabetes and hypertension as well as end stage renal disease presented with progressive weakness of both legs for 3 months. It started as difficulty walking while carrying weights then to inability to move completely, associated with burning sensation over his bilateral foot soles. “Diabetic [...]

Case Presentation: A 23–year–old Mexican male with no known medical history presented to the emergency department with headache, fever, nausea, vomiting and photophobia. He stated that he was well 1 week prior to admission. On examination, he was uncomfortable, with a fever of 102.8, and nuchal rigidity. Laboratory studies showed a leukocyte count of 20.6 [...]

Case Presentation: This is a 76–year–old white female with a history of mastocytosis, who was admitted with acute diastolic heart failure and new–onset atrial fibrillation. Intravenous furosemide was initiated for diuresis, Verapamil was utilized to control her heart rate, and Coumadin was started for longterm anticoagulation. Lovenox was given as bridge therapy. Shortly after her [...]

Case Presentation: A 31–year–old African American male with no medical history presented to the hospital from prison with worsening fatigue, nausea and abdominal discomfort for several weeks. He also reported lightheadedness and unintentional weight loss of 20 lbs. over the past year. He denied any fevers, syncope, chest pain, emesis or changes in bowel or [...]

Case Presentation: A 23–year–old man with no previous medical history presented to the Emergency department complaining of a 2–week history of intermittent right thigh swelling and pain. He denied any preceding trauma, insect bites, or strenuous activity. He gave a history of recent polyuria, polydipsia, polyphagia and 20 pound unintentional weight loss. He had a [...]

Case Presentation: A 54–year–old Caucasian male with medical history of alcohol dependence presented to our hospital with 3 weeks of worsening gait, behavioral changes and slurred speech, as observed by his friends. Exam revealed normal vital signs, and a neurological exam remarkable for attention deficit, disorientation to time, dysarthria, 4/5 strength in his right upper [...]

Case Presentation: A 37–year–old male with benign past medical history presented with worsening bilateral conjunctival injection, progressive hearing impairment and disequilibrium for approximately 1 month. He had earlier been on erythromycin eye drops for suspected pink eye. The conjunctivitis worsened even after his ocular antibiotic eye drops were changed to tobramycin. One week later, he [...]

Case Presentation: A 44–year–old male with history of obstuctive uropathy presented with dyspnea, left sided chest pain, flank pain and hypoxia a day after an urologic procedure. His percutaneous nephrostomy tube was removed 1 day prior to his presentation. His chest x’ray showed a new left pleural effusion. CT angiogram showed no evidence of pulmonary [...]