Case Presentation: A 25–year–old lady presented with abdominal pain, bloating, nausea, vomiting and diarrhea since one year and 15 pound weight loss since two months. Patient had consulted several physicians before with no avail. Physical exam revealed epigastric tenderness. Labs showed normal hemogram, electrolytes, renal and liver function, amylase, lipase and gastrin levels. Anti endomysial [...]

Case Presentation: A 47–year–old lady was sent to our institution by her PMD for evaluation of ataxia, gradually worsening bilateral leg weakness and numbness for 3 years. She also reported low back pain, paraesthesia of legs, progressive urinary incontinence and constipation. The patient had no history of trauma, fever, headache, seizure or other neurological symptoms. [...]

Case Presentation: A 24–year–old Caucasian woman presented with diffuse left sided chest pain and shortness of breath. The pain was sharp, nonradiating, pleuritic, and began acutely while sitting at her computer. Patient reported a chronic nonproductive cough. The patient had a 5 pack year smoking history. Her past medical history was significant for asthma since [...]

Case Presentation: A 69–year–old man with a basal ganglia hemorrhage was found on his 9th hospital day to have multiple right upper and middle lobe pulmonary artery emboli (PE). Because of his recent hemorrhagic stroke, anticoagulation was contraindicated. The following day, an Optease IVC filter (composed of nitinol, a nickel–titanium alloy) was positioned in the [...]

Case Presentation: A 27–year–old African American woman without prior medical history reported 12 h of left lower extremity swelling associated with dull, throbbing pain. Her only daily medication was an oral contraceptive. She had no significant family history, rarely smoked, and denied alcohol or drug use but did recall a recent 8–h auto trip. Vital [...]

Case Presentation: A 76–year–old bed–bound woman with rheumatoid arthritis presented with one week of abdominal pain. Three days earlier she had developed mouth sores, painful swallowing and decreased oral intake. She was hypotensive and had significant tenderness in her right–upper quadrant. She had normal blood counts and a creatinine of 1.5 mg/dL (compared to a [...]

Case Presentation: A 24–year–old Caucasian male with no past medical history presented with 3–4 days of nausea/vomiting, weakness, sore throat, right lower quadrant pain, and subjective fever. The physical exam showed a fever of 101.8 with mild pharyngeal erythema with no exudates and right anterior cervical lymphadenopathy. WBC was 6,300 u/L with 51% neutrophils and [...]

Case Presentation: A 34–year–old Caucasian male was brought into the emergency room as he was found unresponsive. Patient received three doses of naloxone without any improvement. Patient had a temperature of 93.3 F, blood pressure of 135/59, heart rate of 48–52 beats per minute, respiratory rate of 6–8 breaths per minute, and an oxygen saturation [...]

Case Presentation: A 62–year–old male, previously healthy, not immunocompromised, presented with low grade fever, chills, and worsening redness, pain and swelling of the right shoulder, strenoclavicular area and neck. He was recently hospitalized and treated for cough and fever with azithromycin; he had a close contact with grandchildren with strep throat. At that time, no [...]

Case Presentation: This is a 76–year–old female with a past medical history of hypertension, hypothyroidism, and hyperlipidemia who was referred by her primary care physician for evaluation of rash and syncope. One week prior to admission she experienced a sore throat and was treated with azithromycin for 3 days. Two days later, she syncopized and [...]