Lupus Presenting as Abdominal Pain: More than a Gut Feeling Ileannette Robledo, MD, Jose Carlos Barrientos, MD, Joan Bosco, MD, Christine Chen, MD, Harry Fischer, MD, Wan Ling Lam MD, Mount Sinai Beth Israel, Icahn School of Medicine, New York, NY, Abstract Text: Case Presentation: We describe a case of a 28-year-old Asian woman with [...]

Case Presentation: A 29-year-old woman with a past medical history of mild intermittent asthma treated with albuterol and morbid obesity status post gastric sleeve surgery presented to the emergency department with sharp epigastric pain of two days duration. The patient was initially seen at an urgent care center and empirically treated for gastritis with omeprazole, [...]

Case Presentation: A 40-year-old man with inconsistently treated HIV infection presented with a progressive cough, dyspnea, and pleuritic chest pain over a two-week period which were associated with fevers, chills, night sweats, and a 40-pound weight loss. He emigrated from Mexico 10 years prior and had traveled to the central valley of California. On physical [...]

Case Presentation: A 24-year-old African-American woman presented with nausea, flank pain, and hematuria recurring over several months. Review of symptoms and past medical history were negative. She was a current smoker. Family history was noncontributory. Physical exam was significant for bilateral flank pain. Laboratory testing, serology, and kidney biopsy led to the diagnosis of rapidly [...]

Case Presentation:  A 35 year-old Chinese male with a known history of Crohn’s disease was diagnosed in 2014 and treated with nine doses of infliximab. He had normalization of his colon on follow up colonoscopy, but without complete resolution of the patient’s symptoms.  He was started on azathioprine and his symptoms worsened. Repeat colonoscopy showed [...]

Case Presentation: A 53 year old man with a history of stage III squamous cell carcinoma (SCC) of the esophagus (pT3N3) was admitted for dysphagia and found to have a mandibular mass and a painful finger nodule. The patient initially presented to an outside hospital four months prior with dysphagia and weight loss. He was [...]

Case Presentation: A thirty-seven year old female with past medical history of hypertension presented with syncope and chest pain. The pain was non-exertional, substernal, pressure like, associated with lightheadedness, dizziness and shortness of breath occurring intermittently for past few days. Her father died from myocardial infarction at age forty-two and she smoked one pack per [...]

Introduction: Granulomatous interstitial nephritis is a rare histologic diagnosis presenting in less than 1 per cent of native kidney biopsies. Most cases are attributed to sarcoidosis, tubulointerstitial nephritis and drugs such as non-steroidal anti-inflammatory drugs (NSAIDs). Standard treatment includes moderate doses of prednisone irrespective of underlying etiology. We report a case of prosthetic valve endocarditis [...]

Case Presentation:   64-year-old presented to the emergency room complaining of dizziness and confusion for two months prior to presentation.  Patient then developed altered mental status and he was brought to the ER.  The patient denied any focal neurological deficits. On admission to the hospital, his vital signs were stable, his physical exam was negative including [...]

Case Presentation: An 84 year old female presented to the emergency department after developing new onset severe left ear pain, swelling and flu like symptoms. Physical examination revealed stable vitals and an edematous and tender left ear auricle associated with left sided cervical lymphadenopathy. She was diagnosed with Otitis Externa and discharged with oral and [...]