Case Presentation: A 78‐year‐old woman with a history of small bowel obstructions with subsequent resections presented with a 3‐week history of progressive abdominal distention, escalating pain, and nausea. Her symptoms reached maximum intensity in the late evening and were all but resolved the following morning. She denied weight loss or diarrhea; however, she did endorse [...]

Case Presentation: A 36‐year‐old man presented with 6 weeks of abdominal pain, bloody stools, and fatigue. Pain was described as dull, 6 of 10 in intensity, nonradiating, in bilateral upper quadrants and epigastrium, lasting minutes to hours, worsening with food and lying on the right side. There were multiple episodes of bright red stools throughout [...]

Case Presentation: A 48‐year‐old man presented with 2 weeks of ascending numbness and tingling of the right leg and toes. The numbness continued to ascend to the level of the umbilicus. He also noted 1 episode of bladder incontinence and new‐onset constipation. He reported a more acute onset of sensitivity to light touch in the [...]

Case Presentation: A 64‐year‐old Hispanic retired truck driver with type 2 diabetes mellitus presented with a 1‐week history of left foot pain. His initial blood cultures were positive for Klebsiella species. MRI findings were consistent with osteomyelitis and gangrene. He underwent surgical debridement and partial amputation of his left fifth toe. Surgical pathology was consistent [...]

Case Presentation: A 71‐year‐old man was admitted to the hospital for worsening left leg cellulitis. He had noticed a “pimple” on the dorsum of his foot on Sunday. He cleaned the area with hydrogen peroxide, but the erythema spread. On Wednesday, he saw his primary care provider, who performed an incision and drainage and sent [...]

Case Presentation: Ovarian hyperstimulation syndrome (OHSS) is a complication of exogenous gonadotropin stimulation, used in infertility cases. Most cases are mild and self‐limited, but occasionally they can become severe and require hospitalization. A 31‐year‐old woman with a medical history only of infertility was receiving exogenous go‐nadotropins. She was seen in an infertility clinic 3 days [...]

Case Presentation: This is an 11‐year‐old male who was well until 3 days prior to admission, when he developed nasal congestion, fever, and a tender swelling of the forehead. The patient's medical history was significant for autism, with decreased ability to communicate pain. On exam, the patient was febrile, and other vital signs were within [...]

Case Presentation: A 68‐year‐old white male patient presented with progressive dyspnea on exertion, weakness, and an unintentional 50‐pound weight loss over the prior 6 months. He had a history of coronary artery disease, hypertension, and hyperlipidemia with coronary artery bypass grafting in 2007. Extensive outpatient evaluation was unrevealing, and he requested admission for a second [...]

Case Presentation: A 56‐year‐old man with recently diagnosed HIV‐associated toxoplasma encephalitis presented after a generalized seizure. Two weeks prior, he began treatment for toxoplasmosis with pyrimethamine, sulfadiazine, and leu‐covorin. His course was complicated by a presumed sulfadiazine‐induced drug rash and a readmission for seizure. Brain MRI showed improvement in brain lesions but laboratory studies revealed [...]

Case Presentation: Case 1 is a 47‐year‐old man with a 30‐year history of cocaine abuse who was admitted with recurrent cellulitis. Seven months prior he had suffered trauma to his left hand complicated by septic tenosynovitis and abscess requiring surgery and a prolonged course of antibiotics. He subsequently developed polyarthropathy and was treated with indomethacin [...]