Case Presentation: A 45–year–old female with type 2 diabetes was admitted to the orthopedic surgery service with a painful right thigh mass and hyperglycemia. Her pain had progressed over the past month and was now severe enough to prohibit weight bearing. MRI showed a large, necrotic mass in the anterior compartment of the right thigh [...]

Case Presentation: A 52–year–old male with a past medical history of right sided nephrectomy for clear cell renal carcinoma was admitted for evaluation of a 6 month history of occasional parasthesias and acute onset of left arm and left leg weakness. Review of symptoms was also significant for a 60 pound unintentional weight loss over [...]

Case Presentation: The patient is a previously healthy two–year–old female. While eating in a restaurant with her family, she had a temper tantrum. She then became limp with her eyes rolling back. She recovered in 15 min. She had a second similar but unprovoked episode at home 2 h later. After the second episode, she [...]

Case Presentation: A 61–year–old man with HIV, not currently on highly active antiretroviral therapy, hypertension, and monoclonal gammopathy of unknown significance, presented to the hospital with a worsening erythematous macular rash for six days. The macules initially erupted on his arms and progressed to involve his face and trunk. He denied any pruritis or painful [...]

Case Presentation: A 69–year–old Hispanic male, with a past history of diabetes and coronary artery disease, was admitted for fever, diarrhea and confusion of 4 weeks’ duration. Physical examination showed a disoriented patient with multiple ecchymoses, possible ascites and bilateral scrotal swelling. Hemoglobin was 6.7, PT 21.4 s with INR 2.1, PTT 55.6 s, fibrin [...]

Case Presentation: A 7–month–old Caucasian male was admitted to a hospital in central California due to complaints of poor feeding. There was remote history of choking on a plastic bead which was removed by mother. Five days prior to admission he was noted to have difficulty breastfeeding and decreased activity. Family denied fever and endorsed [...]

Case Presentation: A 55–year–old woman presented to Emergency Department (ED) complaining of two weeks history of progressive shortness of breath, lethargy and decreased appetite. She was diagnosed with small cell lung cancer 5 months ago which was treated with chemotherapy and radiation. Last treatment with chemotherapy was 4 weeks prior to this illness. Other medical [...]

Case Presentation: 47–year–old male with past medical history of chronic back pain presented to emergency room complaining of exacerbation of symptoms. Patient reported three months history of sharp excruciating pain that was located on the right lower back radiating down both legs. Patient reported trial of numerous opoid analgesics without resolution of pain. There were [...]

Case Presentation: A 40–year–old male went to his primary medical doctor complaining of headache. He reported a 9/10 dull and achy pain on the right side of his head affecting frontal and temporal regions. He had prior history of headaches but currently his symptoms had persisted for past 10 days without any significant relief with [...]

Case Presentation: A 27–year–old male with unremarkable past medical history presented to the hospital with severe headache for two days. He had associated sinus pressure, nasal congestion with purulent discharge, proptosis, and tearful eyes for three months. Blood pressure was 153/89 mmHg, temperature 97.8°F, heart rate 70 beats/min, respiratory rate 20/min, and pulse oximetry 100% [...]