Case Presentation: A 29‐year‐old white woman with a stated a history of stage 1 breast cancer was admitted for pancytopenia secondary to cyclophosphamide. The pancytopenia was discovered when a complete blood count (CBC) was drawn prior to dental work for a tooth abscess. At admission, CBC values were: white blood cell count 0.1, hemoglobin 6.4, [...]

Case Presentation: A 31‐year‐old white man with a history of schizoaffective disorder, nonadherent to therapy, was brought to the emergency department for paranoia. The patient had developed a fear of eating, initially of most protein sources and subsequently of fruits and vegetables. His diet consisted of a case of water, a loaf of Italian bread, [...]

Case Presentation: A 42‐year‐old African American woman presented to the hospital with a 1 week history of nasal congestion, sore throat, and fever of 38.8°C. Over 12 hours, she developed acute headache, photophobia, and neck stiffness. Review of systems was positive for a 6‐month history of 50‐pound weight loss and generalized weakness. Medical history was [...]

Case Presentation: A 32‐year‐old man experienced several days of hallucinations and strange behavior. He was brought in by a coworker from an industrial ship that had sailed from India. He had been in bed for the past few days with fever and sweats. The patient appeared anxious, had difficulty answering questions, and was oriented only [...]

Case Presentation: A 65‐year‐old African American man patient had a 2‐month history of generalized weakness, loss of appetite, loss of weight, and dizziness. He required hospitalization 6 weeks earlier because of hypotension, hyponatremia, hyperkalemia, and dehydration. The patient is a smoker and known to have hypertension, old stroke, and chronic atrial fibrillation (AF) on warfarin. [...]

Case Presentation: A 44‐year‐old male patient was admitted for recurrent progressively worsening colicky abdominal pain and bleeding per rectum of about 2 months’ duration. There was also an episode of lightheadedness and clear vomiting on the morning of admission. On examination, his abdomen revealed tenderness in the left iliac fossa with no rebound tenderness or [...]

Case Presentation: A 78‐year‐old woman presented with 1 month of weakness and falls. She had had a 50‐pound weight loss over the previous year. Previously, she was diagnosed with breast cancer and treated with a lumpectomy, chemotherapy, and radiation. She moved to Texas following Hurricane Katrina and was lost to follow‐up. She had a 62‐pack‐year [...]

Case Presentation: A 34‐year‐old African American woman with history of sickle cell trait (SCT) presented with acute onset of pain in the right hip and buttock radiating down the posterior aspect of the right leg with numbness and tingling in the right toes for 1 week. Clinical examination revealed mild weakness of the right lower [...]

Case Presentation: A 35‐year‐old Hispanic woman from New York City presented with a 7‐day history of fever, headache, retro‐orbital pain, and myalgia. Her symptoms began during her visit to Puerto Rico, where she suffered from multiple mosquito bites. Her medical history was insignificant. Her vital signs were temperature 101.5°F, blood presure 110/70 mmHg, heart rate [...]

Case Presentation: A 57‐year‐old healthy woman with no medical history was transferred to our institution for evaluation of fever, abdominal pain, and neutropenia. Patient reported that she developed abdominal pain 5 days prior to presentation and described the pain as being periumbilical initially and then moving to the right lower quadrant, achy in character and [...]