Case Presentation: A 57–year–old man with a known history of ischemic cardiomyopathy, high cholesterol, hypertension and diabetes presented with 2–month history of seven daily episodes of watery stools. He lost eleven kg over this period. He had no recent travels, no sick contacts and no new medications. Exam revealed stable vitals, no tachycardia, soft non–tender […]

Case Presentation: A 22–year–old woman with a history of systemic lupus erythematosus (SLE) and antiphospholipid antibody syndrome on chronic immunosuppression and anticoagulation presented with one week of post–prandial upper abdominal pain and fevers. Her vital signs were unremarkable and her abdominal exam was benign. Abdominal CT revealed multiple gallstones without evidence of cholecystitis. With concerns […]

Case Presentation: A 50–year–old HIV–positive, African American male presented with fever and rash of 3 months duration. He first noticed an “elevated, itchy, red spot that enlarged and oozed when scratched” on his left hand. This rash subsequently spread to his trunk and all four extremities. Also, two weeks prior to presentation, there was onset […]

Case Presentation: A 44–year–old female with a past medical history of HIV presented to the emergency room with bilateral leg pain, edema and erythema that was progressively worsening over several weeks. The patient first began to experience this triad of symptoms one year prior to presentation. She had been evaluated during that year with multiple […]

Case Presentation: A 63–year–old male with a history of prostate cancer status post open prostatectomy in 2000 presented in July 2010 to the emergency department with fevers. He reported 6 months of terminal dysuria and brownish urine for which he had previously received Bactrim, without resolution of his symptoms. He denied chills, night sweats, weight […]

Case Presentation: This is a 64–year–old Caucasian male with past medical history significant for non–ischemic cardiomyopathy with recent EF of 19% who presented to the hospital with chief complaint of right upper quadrant pain and admitted with working diagnosis of acute cholecystitis. Upon admission, he was afebrile, hypotensive and examination was significant for right upper […]

Case Presentation: A 77–year–old man from Putnam County, New York, was hospitalized on December 5, 2010 for one week history of fever, dysuria and confusion. He was treated for a urinary tract infection without improvement. He had type II DM and COPD. He had WBC count of 11000/mm3 and normal chemistry & liver panel. He […]

Case Presentation: A 57–year–old Caucasian female started having painless bleeding per rectum. She denied any constipation or pain during bowel movements. She noticed small lump at anal margin. Her other co–morbidities were hypertension, hyperlipidemia, stress incontinence and lumbar degenerative disc disease. She did not have any family history of cancer. Sigmoidoscopy at PCP’s office showed […]

Case Presentation: A 38–year–old Caucasian male with a history of gout presented with odynophagia and epigastric pain following a hiking trip. He was diagnosed with gastro esophageal reflux disease likely secondary to NSAID use. Esophogastroduodenoscopy (EGD) confirmed the diagnosis. He was prescribed a proton pump inhibitor. Despite the treatment, his abdominal pain continued. In addition, […]

Case Presentation: A 31–year–old Caucasian female, 2 months post–partum, on OCP for 4 weeks experienced left hip and buttock pain while working out at gym. She was prescribed NSAIDS and Medrol dose pack for sciatica. Pain worsened and she developed swelling of left thigh over next week. She went to ER where examination showed marked […]