Case Presentation: The patient was a 71‐year‐old Indian businessman with a history of coronary artery disease, diabetes, and hypertension who presents with weakness. Three days PTA, the patient flew from Bombay to San Francisco, where he began to experience chills, fatigue, and generalized weakness on the flight. Following arrival, he developed a low‐grade fever, confusion, [...]

Case Presentation: We report an unusual case of a Pakistani housewife admitted for refractory ascites, fever, weight loss, and fatigue and found to have granulomatous hepatitis secondary to sarcoidosis. A 36‐year‐old woman was admitted to our hospital in March 2009 with a chief complaint of fever, abdominal distension, and weakness. Since April 2007 she has [...]

Case Presentation: We will discuss a case of unsuspected pulmonary embolism (UPE) to provide a framework for clinicians when approaching This newly encountered diagnosis. A 56‐year‐old female presented to our level 1 trauma center after a low‐speed motor vehicle accident. The patient complained of moderate neck pain. She had a history of depression, hypertension, and [...]

Case Presentation: A 20‐year‐old African American male presented to the hospital for recurrent episodes of severe, diffuse crampy abdominal pain, fatigue, anorexia, vomiting, watery diarrhea, and a 20‐pound weight loss over 2 months. Although he had a 5‐year history of ulcerative colitis (UC) confirmed by colonoscopy and biopsy, with flares 1‐2 Times per year, he [...]

Case Presentation: A 42‐year‐old white woman with a past medical history of hypertension was referred to cardiology for symptomatic bradyar rhythmia. She complained of a 1‐month history of dizziness, confusion, and generalized fatigue. She denied any syncopal episodes but had noticed that her heart rate was unusually low during routine blood pressure measurements. Review of [...]

Case Presentation: This is case of a 64‐year‐old male who presented to the rheumatologists office with a lower‐extremity purpuric skin rash. His past medical history included porcine mitral valve replacement 3 years ago for subacute bacterial endocarditis (SBE). At the rheumalologist's office, he had a complete autoimmune workup for the rash, which was negative except [...]

Case Presentation: Acule epiglottitis is potentially fatal as it can cause sudden airway obstruction. With an infrequent occurrence in adults, it is underrecognized and misdiagnosed often. We report an adult patient with acute epiglottitis who was initially Treated as a simple sore throat. A 48‐year‐old male patient presented to the emergency department with a 2‐day [...]

Case Presentation: A 43‐year‐old man with a history of remote IV drug use, alcoholism, and heavy tobacco use presented to the ER after a car accident complaining of dyspnea and a cough productive of mucopurulent sputum. On exam he exhibited bronchial breath sounds in the bilateral lower lung fields and left‐sided egophony. He was afebrile [...]

Case Presentation: A 62‐year‐old man was admitted for fever, dyspnea, cough, and hemoptysis for the past 4 months. His past medical history was notable for chronic lymphocytic leukemia and COPD (controlled with oral steroids). He was a longtime smoker. Travel and other social history were unremarkable. The history of the present illness starred 4 months [...]

Case Presentation: A 77‐year‐old woman presented with 2 episodes of severe back and leg pain. The patient had recently had hand swelling and a rash but no other complaints. Physical examination was noteworthy for a nonpruritic, papular rash on her maxillae and forehead but was otherwise normal. Laboratory workup revealed negative anticentre me re antibody [...]