Case Presentation: An 82‐year‐old female with a history of hypertension and paroxysmal atrial fibrillation presented as a transfer to our institution She presented with fatigue, a 10‐pound weight loss, and right upper quadrant abdominal pain lasting for 3 months. Her initial WBC count was 24,000, and alkaline phosphatase was elevated, prompting cholecystectomy with incidental finding [...]

Case Presentation: An 18‐year‐old woman presented with 4 weeks of constant, painless vaginal bleeding. She had had a normal spontaneous vaginal delivery that required anepisiotomy 4 months prior to presentation. She noted associated nausea, vomiting, dyspnea, and 1 episode of loss of consciousness accompanied by left‐sided weakness. Her blood pressure on admission was 86/54 mm [...]

Case Presentation: A 49‐year‐old man presented with a diffuse, nontender, nonpruritic papular exanthem. He stated that it started on the chest and spread to his back and extremities. He has acute myeloid leukemia (AML), subtype acute myelomonocytic leukemia (M4), with documented regression on bone marrow 2 months prior to presentation. Unfortunately, the patient did not [...]

Case Presentation: A 39‐year‐old male with a PMH significant for infantile seizures and a 3‐year history of bilateral lower‐extremity edema presented with a 1‐day history of seizures. Patient noted a 1‐week history of right‐sided scrotal swelling without associated pain to palpation, trauma, or hematuria and a 70‐pound weight loss within The last year. His blood [...]

Case Presentation: This 65‐year‐old man was transferred to the intensive care unit for acute shock on postoperative day 1 s/p laparotomy for ventral hernia mesh repair. Rapid intravenous fluid resuscitation was initiated, and central venous pressure (CVP) monitoring showed values from 10 to 16 mm Hg. The surgeon took the patienl back to the operating [...]

Case Presentation: An 83‐year‐old man was admitted to the hospital with suspected right upper load pneumonia. His physical exam and laboratory values were significant for a temperature of 38.4°C, a heart rate of 108, a white blood cell (WBC) count of 15.6 K/μLand a lactate of 1.3 units/L. A chest x‐ray showed right upper lung [...]

Case Presentation: A 68‐year‐old woman with non‐small cell lung cancer (NSCLC), diffuse large B‐cell lymphoma (DLBCL), and chronic renal insufficiency was admitted from the infusion center with confusion. Recently diagnosed with both NSCLC and DLBCL, she began treatment with rituximab, ifosfamide, carboplatin, and etoposide, a regimen selected for its activity against bolh malignancies. On Ihe [...]

Case Presentation: We present a patient with massive cutaneous bleeding from a collateral site — Ihe caput medusa. A43‐year‐old man with history of alcoholic liver disease, Child‐Pugh class B, presented to the hospital with cutaneous bleeding. Examination revealed splenomegaly, nontender ascites and caput medusae. A 2‐cm umbilical hernia with brisk bleeding from The inferior margin [...]

Case Presentation: Our general medicine consultation service was asked to evaluate a 63‐year‐old woman who was admitted to the psychiatric ward with severe bipolar disorder. She initially presented with catatonia and severe depression. After undergoing serial electroconvulsive therapy (ECT), the patient was more interactive and expressed a positive mood. During recovery from one of her [...]

Case Presentation: A 73‐year‐old white male with well‐controlled hypertension, type 2 diabetes, osteoarthritis, and gout presented to our preoperative clinic in anticipation of undergoing left hip arthroplasty. The patient had experienced left hip and back pain for 2 years that had become refractory to medical therapy. On clinical exam, the left hip was irritable to [...]