Case Presentation: A 32–year–old woman presented with non bloody vomitus and generalized weakness for 3 days. Medical history was significant for diabetes mellitus type 1 and diabetic ketoacidosis (DKA) in 2006. She was not compliant with medication. On admission, the patient was tachypneic, tachycardiac but her exam was otherwise unremarkable. Initial laboratory work included serum [...]

Case Presentation: A 58–year–old male with uncontrolled hypertension presented to the emergency department complaining of worsening dyspnea on exertion, orthopnea and bilateral lower extremity edema of several months duration. On physical exam he appeared flushed, and exhibited signs of hypervolemia, specifically jugular venous distention, diffuse bilateral crackles in all lung fields and warm lower extremities [...]

Case Presentation: This is a 65–year–old male with diabetes and hypertension who presented to the emergency room with a complaint of right shoulder pain. He was also found to be febrile to 101.5 F with a tender, erythematous and swollen shoulder. A shoulder arthrocentesis was attempted but was unsuccessful in aspirating synovial fluid. Blood cultures [...]

Case Presentation: The patient is a 62–year–old man with significant PMH of Type II diabetes mellitus, hypertension, and gout, who presented with lightheadedness, and shortness of breath. Laboratory analysis was significant for anemia with a hemoglobin of 4 and platelets of 5000. Six months prior to this hospitalization, the patient had presented to another hospital [...]

Case Presentation: A 51–year–old female with end stage renal disease, cirrhosis, tricuspid regurgitation, and portal hypertension undergoes hemodialysis three times per week and receives periodic therapeutic paracenteses. She routinely has 10L or more removed per session, and on two prior occasions her immediate post–procedure course was complicated by profuse abdominal wall bleeding. Both bleeding episodes [...]

Case Presentation: A 50–year–old man presented to his dermatologist with a 2–week history of a rash over his extremities. The nodules were painful, raised and violaceous (Fig. 1). He was empirically treated with oral Prednisone for a presumed diagnosis of erythema nodosum but his symptoms did not resolve. Skin biopsy was done and was inconclusive. [...]

Case Presentation: A 28–year–old woman, gravida2 para2, presented to the ER for abdominal pain and distention 2 weeks after cesarean section with total abdominal hysterectomy for placenta accreta. She was diagnosed with retrovesicular abscess which was percutaneously drained under fluoroscopic guidance. Intravenous antibiotics were given and she showed marked clinical improvement. On the fourth day, [...]

Case Presentation: A 58–year–old female presented with progressively worsening shortness of breath over years with rapid worsening over the previous weeks. Her medical history is notable for progressive pulmonary disease secondary to M. kansasii diagnosed 3 years prior. At that time it was recommended that she undergo antimicrobial therapy, however she declined and pursued a [...]

Case Presentation: A 53–year–old female presented to the orthopedic clinic with complaints of left hip pain, back pain, and motor and sensory deficits. Imaging demonstrated multiple lytic bone metastasis and thoracic spinal cord compression. She was emergently admitted for decompression and fixation of the spine. Cement was used for vertebroplasty and stabilization of spinal fusion [...]

Case Presentation: A 63–year–old man with a history of end stage renal disease status post deceased donor renal transplant and small bowel carcinoid status post excision presented with fevers. Infectious work–up was negative, and a CT scan of the abdomen showed mural thickening and fat stranding around his small bowel anastomosis and mesenteric lymphadenopathy. This [...]