Case Presentation: A 34‐year‐old female with a history of MVP, 2 weeks postpartum, presented with left flank pain associated with nausea and vomiting. She did not take any medications and denied smoking or drug use. Family history was noncontributory. On examination, the patient was afebrile, hypertensive, with left CVA tenderness. Cardiac, pulmonary, and abdominal exams […]

Case Presentation: A 47‐year‐old male with a history of chronic diarrhea for 10 years presented with diarrhea and hypokalemia. Potassium was 2.4 mEq/L. Further workup was negative for malabsorption or infectious causes of diarrhea. Stool osmolar gap was consistent with secretory diarrhea. Additional labs such as VIP, CA 19‐9, TSH, Cortisol, and 5‐HIAA were normal. […]

Case Presentation: A 42‐year‐old man presented with 4 months of intractable nausea, vomiting, and a twenty‐pound weight loss. He noted no recent travel, and he had no tuberculosis risk factors. Outpatient attempts at antiemetic therapy were unsuccessful. The nausea and vomiting slowly progressed, and on the day of admission, he was unable to keep or […]

Case Presentation: A 69‐year‐old white female presented with a 5‐week history of fatigue, myalgias, low‐grade fevers, increasing abdominal girth, concurrent hearing loss with bilateral serous otitis media diagnosed 3 days prior by otolaryngology, and 10 days of increasingly blurry vision. Hospital internal medicine admitted her for further evaluation of symptoms and abnormal laboratory values. Physical […]

Case Presentation: A 67‐year‐old African American male presented to another hospital with COPD exacerbation. His medical history included chronic obstructive pulmonary disease (COPD), hypertension, and hypercholesterolemia. He was treated with albuterol, ipratropium nebulizer, and intravenous steroids. On the second day of admission, he had sharp retrosternal chest pain. ECG done during the episode showed T‐wave […]

Case Presentation: This case is of a 92‐year‐old man who was admitted to the hospital following a syncopal episode. He was apparently found lying down for 1‐5 minutes and was nol able to recall anything on waking up. Emergency medical response team gave him a rapid 250‐cc bolus of normal saline en route to the […]

Case Presentation: A 35‐year‐old woman presented with 1 month of fever and diarrhea. She had been diagnosed with HIV 1 year earlier with a current CD4 count of 22/mm3. She was on no anti‐retroviral therapy. The watery, nonbloody diarrhea occurred 10 or more times/day, associated with a colicky lower abdominal discomfort. Additionally, she reported chills, […]

Case Presentation: A 42‐year‐old female with an extensive psychiatric history of depression, fibromyalgia, and pseudo‐seizures, as well as obesity and chronic constipation, presented as an outpatient with fatigue, muscle pain, weight loss from poor oral intake, and weakness. Creatine kinase levels were elevated, and her muscle symptoms seemed to respond to prednisone, leading to a […]

Case Presentation: A 47‐year‐old woman presented with a 1‐week history of word‐finding difficulty, unclear speech and pareslhesias in her right leg. She denied neck pain, stiffness fever, chills, or problems with vision, memory, menlation, grasp, motor strength, or walking. Six years ago, lupus nephropathy was diagnosed and had been treated with mycophenolate mofelil and later, […]

Case Presentation: A normally healthy 67‐year‐old African American male presented with 2 weeks of worsening shortness of breath, orthopnea, and lower‐extremity edema as well as some chest pains and joint aches. One week prior to presentation he was evaluated by his primary care physician and noted to have a 25‐pound weight gain and started on […]