Case Presentation: A 22–year–old Caucasian gentleman was referred for the evaluation of a 5–day history of non traumatic lower backache and fever. Backache was acute in onset, non radiating, dull in character and of 4/10 in intensity. The pain increased with raising the lower extremities in supine position. Fever was low grade and associated with [...]

Case Presentation: A 66–year–old Caucasian woman presented to outpatient clinic with the complaints of generalized weakness, nausea, headaches and hiccups of three weeks duration. One day before the onset of her symptoms she was outside in hot weather at a flea market. Since then her symptoms gradually worsened. On examination her mucous membranes were dry [...]

Case Presentation: 57–year–old male came with 4 weeks of constant 6/10 diffuse abdominal pain which was aggravated by meals. He had worsening constipation with loss of appetite, early satiety and a 15 lb. weight loss. 2 months prior had a cholecystectomy for questionable gallbladder sludge. He had lightheadedness with exertion attributed to dehydration after a [...]

Case Presentation: A 35–year–old male presented to the emergency department (ED) complaining of intractable nausea and vomiting. This was a reoccurrence of a long standing affliction dating back 7 years in which he had chronic nausea at baseline, and several times per year, he had escalation of nausea and associated vomiting, that required admission to [...]

Case Presentation: Henoch–Schönlein purpura (HSP), an IgA mediated systemic vasculitis, presents with a tetrad of lower extremity purpuric rash, bowel angina, acute nephritis and arthritis. HSP is mostly seen in the pediatric population, but rarely also reported in adults with a much lower incidence of (3.4 to 14 cases per million). Hence less is known [...]

Case Presentation: A 39–year–old female presented to the hospital with 2 weeks of fevers, diffuse pain, headaches, neck stiffness, photophobia, nausea and vomiting. Her past medical history includes hypothyroidism, diverticulitis, GERD and gluten intolerance. She denied smoking, alcohol, illicit drug use, recent travel or pets at home, but did report drinking raw milk through a [...]

Case Presentation: Pulmonary infiltrates with eosinophilia (PIE syndrome) is characterized by eosinophilic pulmonary infiltrates and peripheral blood eosinophilia. We describe clinical,radiological and histological presentation of a patient with chronic eosinophilic pneumonia.55–year–old lady with a h/O asthma complained of cough,fever and night sweats for 2 weeks. It started with a mild runny nose and sore throat [...]

Case Presentation: A 50–year–old Caucasian woman presented to the emergency department with worsening left breast redness and nipple discharge for 3 days. Examination was significant for erythema encompassing most of the left breast with yellow discharge and inferolateral sloughing of the nipple. Ultrasound breast was consistent with mastitis. She was started on IV vancomycin and [...]

Case Presentation: An 80–year–old man was admitted for low back pain and bilateral lower extremity weakness and gait instability for 6 months. He also had weight loss of 40 pounds and fatigue over the last 6 months. No fever or night sweats. Three years earlier, he was diagnosed with bladder cancer and had cystoscopic tumor [...]

Case Presentation: A 27–year–old female with a past medical history of polycystic ovarian syndrome presented to the hospital with nausea and intractable vomiting starting 2 weeks after intrauterine insemination. Her physical examination was normal. At presentation the only abnormal laboratory values were creatinine (2.0 mg/dL) and INR (2.0). Within a week of hospitalization, she developed [...]