Case Presentation: A 57 year old female with history of systemic mastocytosis, hypertension and dyslipidemia presented to the emergency department with complaints of intermittent sub-sternal chest pain for 7 days. On presentation, vital signs were normal. Electrocardiogram (EKG) was done which revealed ST segment elevation in the anterior leads. Patient’s serum troponin I and CK-MB [...]

Case Presentation: 30 year old female with HIV/AIDS, a recent CD4 count of 7 who presented with 4 weeks of diarrhea, nausea, vomiting and odynophagia. She reported weight loss of 190 lbs over the last 6 months. She had been recently admitted with similar complaints and diagnosed with Cryptosporidial diarrhea and esophageal candidiasis. She was [...]

Case Presentation: A 42 year old African American male with a recent diagnosis of Ulcerative Colitis (UC) presented with recurrent bloody diarrhea, abdominal pain, fevers, chills, weight loss and was admitted for management of a presumed UC flare. On a previous admission 2 months prior, he had been diagnosed with UC with a colonoscopy and [...]

Case Presentation: A 42 year old male with no significant medical history was brought by family to the emergency department for evaluation of confusion, dizziness, slurred speech, difficulty with cognition, and symptoms of an upper respiratory infection.  In addition the patient began suffering from visual hallucinations and paranoid behavior.  The patient had no past psychiatric [...]

Case Presentation: A previously healthy 19-year-old woman presented to the emergency department with one week of abdominal pain, bloody diarrhea, and fever. Two weeks prior, she reported a non-specific flu-like illness. On admission, she was febrile, tachycardic, and hypotensive. She had a toxic appearance and a firm, diffusely tender abdomen. She had no oropharyngeal, pulmonary, [...]

Case Presentation: A 54 year old female with no past medical history presented to the emergency room complaining of “sore throat” for the past two days.  She described it as throat tightness and fullness and was associated with mild dyspnea, dysphagia and low-grade fever. Her vital signs were stable with O2 saturation of 92% on [...]

Case Presentation: A 46-year-old male without significant past medical history presented with progressive dyspnea, syncope, and epigastric pain. An electrocardiogram displayed sinus tachycardia without signs of ischemia. A chest radiograph demonstrated a widened mediastinum. A subsequent transthoracic echocardiogram demonstrated pericardial effusion and tamponade. Patient had hypotension that was unresponsive to repeated intravenous fluid boluses, prompting [...]

Case Presentation: Our patient was a 58 year old male with a history of metastatic melanoma on nivolumab and ipilimumab who was directly admitted from clinic to the medicine service for increased lethargy and flu-like symptoms. The patient described a one week history of fevers/chills, headache, muscle ache, and malaise; as well as nausea, vomiting, [...]

Case Presentation: A 72 yo female with a past medical history of HTN, DM2, and CKD III (baseline creatinine of 1.1) was admitted to our hospital for mild vaginal bleeding and acute kidney injury.  Over the preceding two months she had been seen by nephrology as an outpatient for worsening hypertension, edema, and proteinuria. During [...]

Case Presentation: A 44 year-old woman presented with 10 days of acute onset decreased vision.  She reported “floaters” and bright flashes in her eyes, left worse than right. Her eyes felt “tired,” but not painful and she had no headache. A retinal specialist found bilateral optic nerve and macular edema, worse in her left eye. [...]