Case Presentation: Our patient is a 24-year-old male with a family history of Antithrombin III (ATIII) deficiency and cerebral aneurysm. He was transferred to our hospital for management of syncope in the setting of a pulmonary embolism (PE). While at work as a landscaper, he felt lightheaded and diaphoretic. The following day, he syncopized, had bladder [...]

Case Presentation: An 89-year-old woman with hypertension, dementia, and vertebral fracture was admitted to another hospital because of hip pain after fall. Since she was also found to have oxygen desaturation, the patient was referred to our hospital for further workup. She denied dyspnea, cough, sputum, chest pain, palpitation, episode of aspiration, or fever. On [...]

Case Presentation: We report a 58 year old Caucasian male who presented with abdominal pain, fever and intractable vomiting. Past history was significant for laparoscopic cholecystectomy three weeks earlier complicated by post-operative bile leak that was managed conservatively. Physical examination was remarkable for diffuse abdominal tenderness most prominent in the right upper quadrant. Preliminary laboratory [...]

Case Presentation: We report a 32 year old previously healthy Caucasian male who presented with fever and a sore throat. At presentation he was noted to be febrile, but examination of his throat and neck were unremarkable. Blood cultures were positive for Fusobacterium necrophorum in two sets. CT of his neck was negative for parapharyngeal [...]

Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was found to have declining FEV1 and FVC levels. A chest x-ray was performed to evaluate underlying abnormalities and revealed bilateral [...]

Case Presentation: A 51-year-old man with type 2 diabetes presented with icterus and generalized, non-pruritic, well-circumscribed, red, papular eruptions, including on his palms and soles. He had no fever, malaise, or arthralgia and no recent/current medication use; he drank alcohol only socially. He had conjunctival icterus and several tiny mucous patches in the oral mucosa. Ultrasound [...]

Case Presentation: A 49-year-old man with type 2 diabetes was admitted to our hospital because of impaired consciousness. The patient was fatigued for 10 days and had visited his primary care physician who administered an intravenous drip the day before admission. In ER, he was unconscious with a Glasgow Coma Scale of 6; his breathing pattern [...]

Case Presentation: 65 year old man with HTN, active tobacco and alcohol use presents with right (R) hip and knee pain for 4 months, worsening over the past 2 weeks. 3 months ago, he presented to an orthopedic clinic for progressive R hip pain without any history of trauma or injury. An MRI showed a [...]

Case Presentation: A 71 year old man with history of multiple sclerosis and gout (on Methylprednisolone) presented with weakness. Patient was diagnosed with a UTI on a recent hospital admission for fever and weakness. He improved on IV antibiotics and was discharged home to complete a 7-day PO course, but returned 9 days later after [...]

Case Presentation: A 59-year-old male with a remote history of traumatic left hemidiaphragmatic injury presented to the hospital with acute onset substernal chest pain, nausea, diarrhea, and diaphoresis while eating a hamburger. He reported a six month history of early satiety, prandial discomfort, and bloating with a 20 kg weight loss. Three weeks prior to [...]