Presentation: A 44 year old woman presented with a two week history of myalgias and fevers. Three weeks prior to admission the patient received a 10 day course of trimethoprim‐sulfamethoxazole (T‐S) for sinusitis. Her symptoms improved. One week after treatment, she developed myalgias, fevers, and an erythematous patch on her left flank. Continued fevers and [...]

Background: Polycystic kidney disease (PKD) is a common genetically linked renal disorder affecting one in 1000 people in the USA. Colonic Diverticular disease occurs in twenty percent of the population and the majority of acute diverticulitis is treated in the inpatient setting. Studies have shown an increased incidence of diverticulitis in patients with PKD. However, [...]

Case Presentation: A 63 year old female with a history of anxiety disorder presented with acute chest pain and shortness of breath. Physical examination revealed an anxious appearing woman with tachycardia and hypertension (180/95). An ECG showed ST‐segment elevation in leads V2‐V6. Troponin levels and creatinine kinase‐MB fraction were elevated. Diagnosed with a probable ST‐segment [...]

Case Presentation: A 66 year‐old man presented for evaluation of severe back pain, fatigue and lower extremity weakness for one month. Further questioning elucidated a two month history of worsening dyspnea both with exertion and at rest, orthopnea, paroxysmal nocturnal dyspnea and lower extremity edema. Review of systems revealed a 14 kg weight gain in one [...]

Case Presentation: A 53‐year‐old male with HIV presented with a two‐week history of dry cough, fever, and shortness of breath. His past medical history included disseminated Cryptococcus neoformans treated with fluconazole, a 20‐pack‐year smoking history, and a remote history of thoracotomy following a stab wound to the chest. He had recently started highly active antiretroviral [...]

Case Presentation: A 52‐year‐old woman presented to the emergency department (ED) with the chief complaint of scattered bruises and petechiae on both legs beginning 5 days prior to presentation, and a platelet count of 6, 000 cells per micro liter (K/uL). She was prescribed daily clopidogrel 75 mg and aspirin 81 mg 2 days prior to the [...]

Background: Hypertension and diabetes are common diseases in the adult population. Hypertension is found in about 40% of patients with newly diagnosed type 2 diabetes mellitus. Five to 10% of hypertension cases are secondary to an endocrine hypersecretory disorder including pheochromocytoma, and Cushing's syndrome. Results: A 51 year‐old African american female presented with a draining [...]

Case Presentation: A 63‐year‐old female with past medical history of meningioma was admitted with one‐week history of swelling, watering, painful movements and vision loss in right eye. She also had generalized weakness, 15 lb weight loss, anorexia, nausea, crampy abdominal pain and diarrhea. Her right eye was proptotic with visual acuity to hand movement only, [...]

Case Presentation: The patient is a 58 yo white female with no significant past medical history who presented with severe fatigue and was found to have acute renal failure and hemolytic anemia. Review of symptoms was completely negative with no change in her urinary habits (no dysuria, hematuria, or frequency) or GI habits (no nausea, [...]

Case Presentation: A 55‐year old man with a history of diabetes type II and nasopharyngeal cancer on home intravenous antibiotic therapy presented with fever. He had been treated with chemotherapy and resection previously and one month prior to admission he was admitted for tumor recurrence and had repeat resection. By intraoperative biopsy he was found [...]