Case Presentation: Our patient is a 50-year-old woman admitted to the hospitalist service with a presumptive diagnosis of syncope. The day prior to admission, she developed intermittent pre-syncopal episodes without clear inciting factors. Symptoms were recurrent, non-positional, and not associated with any chest discomfort. Further review of her history was notable for a relatively recent [...]

Case Presentation: A 22 year-old male presented to the emergency department with a three week history of abdominal pain which occurred typically within an hour after meals. This had worsened over the past four days and was associated with poor appetite, nausea, vomiting, and loose bowel movements. The pain had been non-responsive to acid suppression [...]

Case Presentation: A 47-year-old immunocompetent male with a medical history significant for active intravenous heroin abuse presented to the hospital with fever and respiratory distress. On admission, he was diaphoretic, febrile, and hypoxemic with an oxygen saturation of 70% on ambient air, necessitating intubation and mechanical ventilation. Chest radiography revealed a right lower lobe infiltrate [...]

Case Presentation: A 38 year old lady with past medical history of recurrent kidney stones presented to the emergency department with a 1 day history of lethargy, confusion, and severe right sided abdominal pain. She was febrile with temperature of 38.9oC and tachycardic with heart rate of 168 bpm. She had leukocytosis of 13,000/ml and [...]

Case Presentation: A 55-year-old male with a history of coronary artery disease status post percutaneous intervention, tobacco abuse, hepatitis C, and liver cirrhosis presented to an outside hospital with severe fatigue and weakness. One month prior to presenting to the outside hospital, the patient suffered a cardiac arrest secondary to myocardial infarction. He required bare [...]

Case Presentation: A 66-year-old man was admitted with abdominal distension, fatigue and dyspnea. Six months prior he underwent elective repair of his aortic valve with a post-operative course complicated by a recurrent right sided exudative pleural effusions. Echocardiography demonstrated moderate left ventricular hypertrophy with an ejection fraction of 35-40%. The patient had previous anaphylactic reactions [...]

Case Presentation: A 59 year-old female with past medical history of Hashimoto’s thyrotoxicosis was admitted because of fatigue, myalgia, acute renal injury with hematuria and proteinuria, positive p-ANCA, positive stool guaiac test, and elevated inflammatory markers. She also had a head CT and MRI done for a new onset of left foot numbness and both [...]

Case Presentation: A 75 year-old man presented with one week of worsening altered mental status and recurrent falls. He also reported dyspnea, non-productive cough and chills of similar duration.  He had history of DM2 well controlled on glipized.  Upon presenation his temperature was 37.8 C, pulse of 94 beats per minute, O2 saturation of 85% on room [...]

Case Presentation: A 62-year old female with history of severe persistent asthma on chronic steroid and montelukast, allergic rhinitis, and peripheral neuropathy who presented with a two- month history of worsening left foot weakness. On examination, vital signs were normal, musculoskeletal exam was significant for intact strength in the upper extremities bilaterally. Right lower extremity [...]

Case Presentation: 62 year-old female with a history of intracranial hemangiopericytoma admitted to the ICU with altered mental status due to profound hypoglycemia. She was previously diagnosed six years prior with intracranial hemangiopericytoma and treated with resection and stereotactic radiosurgery. The tumor recurred locally three years later and she underwent additional resection. She denied a [...]