Case Presentation: A 48–year–old woman in generally good health presented with two months of profuse, large volume watery diarrhea. She was initially diagnosed with Clostridium difficile colitis and symptoms resolved with oral metronidazole. Five days after treatment, she developed nausea and >20 loose watery stools daily including diarrhea when she was not eating, nocturnal diarrhea [...]

Case Presentation: This was a 42–year–old Caucasian female with history of alcohol–induced cirrhosis, Roux–en–Y gastric bypass surgery who presented to the hospital for generalized weakness and severe rash. She developed symmetrical weakness in her lower extremities over several weeks. She was unable to walk after 2 weeks of the onset. She noted symmetrical numbness and [...]

Case Presentation: A 50–year–old female presented to the hematology clinic for evaluation of pancytopenia. Past medical history significant for bariatric surgery performed one year ago. Complete blood counts were normal prior to surgery. Examination was negative for lympadenopathy and organomegaly. Initial labs showed pancytopenia, normal Vitamin b12, folic acid and Iron studies. Bone marrow biopsy [...]

Case Presentation: A 23–year–old male presented to the Emergency Room with symptoms of substernal chest pain radiating to his neck. The pain began spontaneously one day prior to arrival and progressed through the day. Subsequently he developed some “neck swelling”. Patient did not have any significant past medical history or family history of early cardiovascular [...]

Case Presentation: A 72–year–old man with a history of resected multicentric ileal carcinoid tumor underwent evaluation for small bowel obstruction (SBO). A newly elevated urinary 5–hydroxyindoleacetic acid level prompted a single–photon emission computed tomography/computed tomography (SPECT/CT) octreotide scan which revealed intense radiotracer uptake in the cardiac apex. A transthoracic echocardiogram (TTE) revealed no valvular abnormalities [...]

Case Presentation: 63–year–old male with history of hypertension and dyslipidemia presented to the hospital with a 5 month history of fatigue, 40 lbs. weight loss, diaphoresis, insomnia, short–term memory loss, and hyponatremia secondary to presumed syndrome of inappropriate antidiuretic hormone secretion (SIADH). His exam was notable for normal vitals, dry mucus membranes, fine tremor, and [...]

Case Presentation: A 41–year–old female with a history of substance abuse presented to the Emergency Department with one month of bilateral lower extremity rash and severe pain. On arrival patient was noted to have altered mental status and met SIRS criteria of fever and tachycardia. She was also found to be leukopenic with an ANC [...]

Case Presentation: A 52–year–old man presented for open reduction and internal fixation (ORIF) of an uncomplicated distal radius fracture after a helmeted skiing accident. One year prior to presentation he underwent shoulder rotator cuff repair under general anesthesia with isoflurane without incident. During the ORIF, he received desflurane under general anesthesia. Three days post–operatively his [...]

Case Presentation: Introduction: Albeit a frequent complication in cancer patients, stroke has rarely been reported as an initial manifestation of an occult malignancy. We report a patient presenting with multifocal cerebral infarction who was later found to have an adenocarcinoma of lung complicated with Non Bacterial Thrombotic Endocarditis (NBTE) and Disseminated Intravascular Coagulation (DIC). Case [...]

Case Presentation: A 31–year–old man with a history of human immunodeficiency virus (HIV) presents with shortness of breath, headache, vomiting, diarrhea and tingling in lower extremities. He had been hospitalized eight months prior due to pneumocystis jirovecii pneumonia (PJP). At that time, he was prescribed sulfamethoxazole/trimethoprim which was switched to dapsone due to gastrointestinal side [...]