Case Presentation: A 53‐year‐old man presented with new‐onset pedal edema and memory loss of 1 month's duration. He also complained of a 1‐year history of generalized weakness, joint pains, neck stiffness, watery diarrhea, and significant weight loss He denied fever, chills, abdominal pain, nausea, vomiting, hematemesis, or hematochezia. He appeared lethargic and pale and had [...]

Case Presentation: A 27‐year‐old man with no prior medical history presented to the emergency department (ED) for a 2‐day history of sore throat, nonproductive cough, and fever. Physical exam revealed pharyngeal erythema and cervical lymphadenopathy. He reported a penicillin allergy of a rash. The patient was diagnosed with pharyngitis and discharged on oral azithromycin. The [...]

Case Presentation: A 65‐year‐old man presented to the emergency department in late summer complaining of fever, cough, and decreased oral intake for the past 7 days. His symptoms were associated with blurry vision and nausea. His medical history included diabetes and hypertension. In the ED, he was alert and oriented. His temperature was 100.8°F. Physical [...]

Case Presentation: A 75‐year‐old white man with a medical history significant for fibromyalgia and self‐medication with chronic acetaminophen use for 2 years presented with bilateral knee pain and a flulike illness. On presentation his vital signs were stable. Physical exam revealed swelling, tenderness, and decreased range of motion of the right wrist and both knees. [...]

Case Presentation: A 65‐year‐old Middle Eastern man with a history of coronary artery disease, chronic renal failure stage III, diabetes mellitus, and gout was admitted with hematuria and a purpuric rash on his upper and lower extremities. Bladder ultra‐sound revealed a bladder tumor, and cystoscopy with biopsy confirmed papillary urothelial neoplasm; hence, hematuria was presumed [...]

Case Presentation: A 28‐year‐old woman presented with an acute exacerbation of chronic, intermittent abdominal pain. The patient described intense cramping and colicky periumbilical pain lasting 1‐2 days and occurring 2‐3 times per year for 9 years with no known triggers. Associated symptoms frequently included nausea, vomiting, and watery diarrhea. The patient denied fever, chills, skin [...]

Case Presentation: A 24‐year‐old man with a history of IgA nephropathy, hypertension, and gout presented to the hospital with complaints of fevers for 3 weeks and rash for 3 days. He reported daily fevers to 103°F, associated with chills and fatigue, followed by onset of an erythematous, pruritic rash. Review of systems was positive for [...]

Case Presentation: A 58‐year‐old African American man presented to our hospital with 1‐month history of anorexia with a 20‐pound weight loss and progressive painless jaundice. He denied significant alcohol use and admitted to 25 pack‐year tobacco use. He had a family history of colon cancer and pancreatic cancer. Physical examination revealed a thin man with [...]

Case Presentation: A 7‐month‐old healthy female infant presented to the emergency room with a 10‐day history of no stools. Her mother noted that she had a decreased activity level, decreased appetite, and abdominal distention and at times appeared to have abdominal pain. She did not have fever vomiting, or weight loss. Her diet strictly consisted [...]

Case Presentation: A 36‐year old previously healthy hairstylist presented with a 3‐day history of fever, dry cough, and “throbbing” headache with mild photophobia. She reported generalized weakness and lethargy, but no confusion. She had no recent travel but had fallen into a Midwestern river while canoeing 2 weeks prior to her acute illness. Examination showed [...]