Case Presentation: A 50–year–old male with a history of dyslipidemia was evaluated at an outside hospital for abdominal pain, constipation, and intractable nausea and vomiting for five days prior to admission. The pain was crampy and diffuse and had recently worsened. Last flatus and bowel movement were five days prior to presentation. He denied fevers, [...]

Case Presentation: A 54–year–old AAM with HIV/AIDS and G6PD deficiency presented with severe weakness and a diffuse rash with alopecia that began 3 months ago. His weakness progressed gradually and he now required assistance to ambulate. He reported anorexia and depressed mood but denied fever, chills, cough or diarrhea. He lives with his HIV–positive wife [...]

Case Presentation: A 59–year–old Caucasian male presented with progressive shortness of breath and productive cough for 2 weeks along with low–grade fever. He denied any chest pain. Past history was significant for type 2 diabetes mellitus and chronic kidney disease. He was afebrile with mild tachycardia. There was no pulsus paradoxus and jugular venous distension. [...]

Case Presentation: An 8–year–old female with past medical history significant for bipolar disorder and ADHD presented to an emergency department for evaluation of four days of vomiting and diffuse abdominal pain. The patient had been unable to take her routine medications including Risperidone 1 mg BID, Dextroamphetamine and Amphetamine (Adderall) 50 mg Qday, and Clonidine [...]

Case Presentation: 62–year–old man with AIDS presented with a history of photophobia and blurry vision in his left eye. He denied any pain, discharge, redness or floaters. There was no associated change in mental status, fever, headache, neck stiffness, or nausea. One and a half years ago he had blurry vision in both eyes and [...]

Case Presentation: A 36–year–old Hispanic female immigrant presented with two days of headache and neck pain. She had presented on a prior occasion with similar complaints, and was diagnosed with migraine headaches. She was admitted for presumed bacterial meningitis. A lumbar puncture was performed, revealing 642 white blood cells/mL with 46% eosinophils. The Gram stain [...]

Case Presentation: A 21–year–old woman presented with two days of a petechial rash on her upper extremities and chest. She noted no additional symptoms; she had no history of easy bruising or bleeding, or risk factors for liver disease. She was afebrile with a normal neurologic examination. Conjunctival and gingival hemorrhages were present, as were [...]

Case Presentation: A 31–year–old man with no past medical history presented with three days of progressively worsening abdominal pain radiating to the epigastrum. The pain was dull in character, and associated with nausea and vomiting. He described chronic headaches for the past two weeks since trying to stop smoking. His vitals were normal. He had [...]

Case Presentation: A 63–year–old man presented with ten days of dyspnea on exertion, occurring with minimal exertion and resolving after rest. He reported associated palpitations, fevers, chills, and increasing abdominal girth, but denied chest pain, orthopnea, paroxysmal nocturnal dyspnea, lightheadedness, nausea, vomiting, or diaphoresis. He had a history of untreated hepatocellular carcinoma (HCC). His temperature [...]

Case Presentation: A 42–year–old woman presented with three days of worsening left flank pain radiating to her groin. She experienced similar pain over the past year, but it had never been this severe. She now noted tingling in her fingers and a tremor. She was afebrile, orthostatic, tachycardic without a murmur, and tachypneic with clear [...]