Case Presentation: A 48‐year‐old white female with no previous chronic disease presented with a 2‐week history of constitutional symptoms including fever, rhinorrhea, and malaise. After failure of the initial therapeutic trials, she underwent a complete workup to rule out infectious, inflammatory, or neoplastic diseases. In addition to conventional studies (e.g., chest x‐ray and cultures), numerous [...]

Case Presentation: A 44‐year‐old man was admitted to the hospital for workup of recurrent localized sharp left‐sided abdominal pain associated with frequent loose stools for a year's duration. There was remote few rectal bleeding and 40‐pound documented weight loss. No significant history of nausea, vomiting, food intolerance, or change in appetite. Family history was noncontributory, [...]

Case Presentation: John Doe (J.D.) is a 61‐year‐old undocumented man of African descent with no previous medical care admitted to our institution with renal failure and acute onset of bilateral lower‐extremity weakness. He was diagnosed with end‐stage renal disease and started on hemodialysis (HD). Extensive workup of his weakness did not yield a definitive diagnosis. [...]

Case Presentation: Scleroderma encompasses a spectrum of related disorders, most of which share a characteristic clinical feature of skin thickening due to an excess of collagen fiber deposition. Serologic testing is helpful in confirming, but not excluding the diagnosis of systemic sclerosis (SSc). A 63‐year‐old white man presented with a 2‐month history of progressive dyspnea, [...]

Case Presentation: A 35‐year‐old white man with a past history significant for gastroesophageal reflux disease presented with a 1‐year history of unexplained arthralgias and a 2‐day history of hematochezia. His hematochezia was thought to be secondary to indomethacin, which he was taking for arthralgias. Upper gastrointestinal endoscopy revealed duodenilis. Colonoscopy done to rule out inflammatory [...]

Case Presentation: A 47‐year‐old man with hypertension and depression presented with 2 weeks of right‐sided photophobia and retro‐orbital pain described as constant with increasing intensity over the last 4 days. Several days prior, the patient had transient left‐sided weakness of his upper and lower extremities lasting for 30 minutes. He did not have any signs [...]

Case Presentation: A 51‐year‐old man presented with a 1‐week history of back pain and fevers. He attributed the back pain to heavy lifting at his new job, but did not have an explanation for the fever. He denied intravenous drug use or symptoms suggestive of malignancy. On the day following admission, he noted a severe [...]

Case Presentation: This is a 24‐year‐old man of Filipino descent with no significant past medical history who presented with a 10‐day history of fever, chills, anorexia, and fatigue. He decided to seek medical attention after experiencing 2 syncopal events within 24 hours. The day before admission he passed out while in the shower when getting [...]

Case Presentation: A 78‐year‐old man presented with 3 days of fever and intermittent, diffuse abdominal pain. He also reported loose stools and decreased appetite. He had a history of coronary artery disease, atrial fibrillation, syncope, hypertension, hyperlipidemia, and diverticulosis for which he was taking metoprolol, clopidogrel, lisinopril. simvastatin, warfarin, and aspirin. The vital signs were [...]

Case Presentation: A 51‐year‐old female with no significant past medical history presented with a 1‐week history of left‐sided abdominal pain. The patient was aferile and physical exam revealed mild diffuse abdominal tenderness. Laboratory data were significant only for mild leukocytosis. The patient was started on antibiotics for possible diverticulosis as outpatient. CT scan of the [...]