Case Presentation: A 76‐year‐old white woman with type 2 diabetes (DM), hypothyroidism, coronary artery disease, and atrial fibrillation on oral anticoagulation was transferred to our institution with a 3‐month history of painful ulcerative lesions of her left lower extremity. The lesions had started as a rash with pruritis and progressed to nodular and ulcerating lesions […]

Case Presentation: A 33‐year‐old obese woman presented in respiratory distress 4 weeks after an ovarian cystectomy. She reported a 30‐pound weight gain in the month prior to admission. She had recently been treated with antibiotics and steroids after presenting with similar symptoms. On admission, she was afebrile and tachycardic and had an increased respiratory rate. […]

Case Presentation: A 58‐year‐old white man underwent primary percutaneous transluminal intervention (PCI) with 2 stents for acute coronary syndrome (ACS). On the second day he developed fever. Antecubital thrombophlebitis was noted, and the peripheral catheter was removed. The femoral site was clean. Blood cultures grew methicillin‐sensitive Staphylococcus aureus (MSSA), TEE was negative. He was started […]

Case Presentation: A 52‐year‐old man with a history of heavy alcohol use was admitted for cellulitis and chronic edema attributed to cirrhotic liver disease. Exam findings included significant peripheral edema, ascites, and jugular venous distention. A CT scan of the abdomen demonstrated a mildly cirrhotic liver with no signs of portal hypertension. Laboratory studies found […]

Case Presentation: A 17‐year‐old boy was in his usual state of health until 3 weeks prior to admission, when he developed intermittent abdominal pain, vomiting, arthralgia, and skin rash. He started with localized, sharp, continuous abdominal pain on the left half of the abdomen associated with 2 episodes of nonbloody, nonbilious forceful vomiting, A nonpruritic […]

Case Presentation: A 65‐year‐old woman was transferred to us with 3 weeks of bandlike, nonexertional lower chest tightness associated with severe dizziness on standing and palpitations. She had difficulty ambulating because of leg weakness and pain with tactile stimuli and noted a weak right hand grasp. She had severe weight loss over 5 months (35 […]

Case Presentation: A 78‐year‐old man with hypertension, diabetes mellitus, and hyperlipidemia presented to the ER for a 3‐day history of generalized malaise and fever. He denied headache, cough, abdominal pain, nausea, or vomiting. Medications included acetaminophen, hydrochlorothiazide, lisinopril, glyburide, metformin, and simvastatin. Vital signs were significant for a temperature of 102°F. On physical exam, he […]

Case Presentation: A 93‐year‐old man presented following acute onset of substemal and epigastric pain that progressed to crushing pressure over the course of 4 hours. He described a sensation of fullness in his throat, dysphagia, and mild diaphoresis. He had no similar problems before and noted no additional symptoms, including no dyspnea, cough, fever, vomiting, […]

Case Presentation: This is a case of a 62‐year‐old white man with a history of cirrhosis secondary to hepatitis C, currently on treatment. His chief complaint was sore throat for 1 week, now with SOB for 1 day. Review of systems was positive for abdominal pain. On initial exam the patient was hyperventilating, tachycardic, and […]

Case Presentation: Rapidly progressive glomerulonephritis (RPGN) is a well‐known cause of acute renal failure. However, its abrupt presentation with anti‐GBM antibodies in the setting of membranous nephropathy is quite uncommon, A 73‐year‐old man presented with fatigue and pedal edema. Initial renal function was normal but proteinuria was in the nephrotic range without hematuria. Renal biopsy […]