Case Presentation: 65 y/o M with a history of Diabetes and Coronary Artery disease, but in his usual state of health presented with a five day history of malaise, productive cough, shortness of breath, fever, chills and rigor. Initial presentation and diagnostic studies were consistent with multi-lobar pneumonia and acute on chronic renal failure but [...]

Case Presentation: A 53-year-old African-American male presented to his primary care physician with two months of nasal congestion and recurrent epistaxis. There was no significant past medical or family history. Saline nasal spray and a short course of azithromycin and prednisone were prescribed. However, symptoms continued to progress over the following three months and he [...]

Case Presentation: Acute cholecystitis is a very common disease, suspected by the patient’s history and physical examination, confirmed by ultrasonographic imaging, and supported by lab findings suggestive of obstructive jaundice. Our patient had an atypical presentation of cholecystitis, secondary to her atypical anatomy. We present a 61 year old Hispanic woman with past medical history [...]

Case Presentation: Clenbuterol Toxicity in a Polysubstance User Discussion: Ingestion of legal and illegal recreational substances is a common cause for hospitalization. A physician must not only be familiar with common medication intoxications and withdrawal syndromes, but also remain aware of the possibility of rare substances or additives. A 37 year old male presented to [...]

Case Presentation: A 50-year-old male presented to the hospital with fevers, night sweats, and painful lymphadenopathy for one week. Abdominal computed tomography (CT) revealed marked splenomegaly and iliac lymphadenopathy. Labs showed platelets 67, hemoglobin 11.1, 3% atypical lymphocytes, 26% monocytes, AST 50, ALT 39, negative acute hepatitis panel, negative HIV, negative heterophile antibody, CMV IgG [...]

Case Presentation: A 49 year old female with a history of Depression and Multiple sclerosis (MS) presented with acute psychosis in the setting of recent polysubstance abuse.  The patient endorsed both visual and auditory hallucinations; stating she saw bugs and could hear her dead father calling her. In addition, the patient was convinced that her [...]

Case Presentation: Case of a 63-year-old female with medical conditions of hypertension, chronic obstructive pulmonary disease, diabetes mellitus type 2, and pulmonary embolism (2013) presented to our clinics with progressively worsening purpuric lesions since 1 month prior to evaluation. She stated that these lesions began in the lower extremities and progressed to involve her buttocks, [...]

Case Presentation: A 55 year-old man presented with a subacute history of difficulty swallowing.  The patient was being treated with ezotuzumab and lenalidomide for Stage II IgG kappa light chain multiple myeloma. He had recently received zoludronic acid for treatment of asymptomatic hypercalcemia.  Neurological exam was remarkable only for reduced upper extremity strength (4/5 Medical [...]

Case Presentation: 60 year old African American man with history of HTN, HLD, and mitral valve regurgitation presented to the ER complaining of 2.5 weeks of progressively worsening right eye pain and swelling. He originally saw his primary care physician, who prescribed him eye drops. However, the swelling got worse, so his PMD referred him [...]

Case Presentation: A 70-year-old man with a remote history of ischemic cardiomyopathy presented to the hospital with worsening shortness of breath. His review of systems was remarkable for orthopnea. His past medical history was significant for hypertension and hyperlipidemia. His home medications were carvedilol, aspirin, lisinopril and simvastatin. Diagnostic studies including cardiac enzymes and chest [...]