Case Presentation: 64 year old male with history of stage 4 prostate cancer status post radiosurgery and hormonal therapy in remission for 6 months presented with 1 month of left upper quadrant and epigastric pain associated with nausea, anorexia and unintentional 15 lb weight loss within 8 months. His PSA level was significantly elevated at [...]

Case Presentation: An 84 yo female with a past medical history of HTN, HLD, GERD and reactive airway disease presented with acute shortness of breath and wheezing. Patient appeared anxious, with cyanotic lips and labored breathing. O2 sat on RA was 78%. Associated symptoms included vomiting, diarrhea and an urticarial rash. Patient was successfully treated for [...]

Case Presentation: A 60 year old woman with a history of hypertension and low back pain was brought it by family after she was found unresponsive in bed.  According to the patient’s family, at baseline the patient was a highly successful lawyer. Her husband and daughter reported that she stayed home from work the previous [...]

Case Presentation: A 45-year-old woman presented to our hospital for evaluation of chronic kidney disease. Three years earlier, she had been diagnosed at an outside institution with Sjögren’s syndrome after developing sicca symptoms with positive anti-Ro/SSA, antinuclear antibody, and rheumatoid factor titers. Progressive renal insufficiency was noted soon after, but she was lost to follow-up [...]

Case Presentation: A 54-year-old African American woman presented with complaints of headache, blurred vision, and progressive bilateral leg swelling for the past week. This was her 4th visit to the hospital in 4 months with similar complaints. Medical history was significant for 10 years of refractory hypertension, many no-show visits, consequent chronic kidney disease stage IV, [...]

Case Presentation: We present a 47 year-old male who experienced chest discomfort and a syncopal episode.  He was found to be in ventricular tachycardia and was immediately electrocardioverted.  Afterwards his symptoms resolved and he was in sinus tachycardia, however his electrocardiogram (EKG) showed ST elevation in the anterolateral leads, along with T-wave inversions in the [...]

Case Presentation: A 60 year-old woman with chronic mesenteric ischemia was admitted for symptomatic inferior mesenteric artery (IMA) stenosis. She underwent IMA stent placement with a postoperative course notable for abdominal pain and nausea. Two weeks later, she was transferred to a medicine service for uncontrolled hypertension. Overnight, the patient had sudden-onset nausea and vomiting [...]

Case Presentation: A 39 year old woman with history of GERD presented to the ED for unretractable abdominal pain with nausea and vomiting despite chronic treatment with omeprazole. She also noted dyspnea on exertion, fatigue, and paler skin with a 80 pound weight loss over the past year. She described her vomitus as dark coffee [...]

Case Presentation: A 36-year-old African American male, with accelerated phase Philadelphia chromosome positive CML  on dasatinib, presented to a community hospital with abdominal pain, distention, and melenic stools 10 days after being discharged.  During the previous admission, he received treatment for recurrent upper gastrointestinal (GI) hemorrhage due to a 1cm duodenal bulb ulcer with underlying [...]

Case Presentation: A 54-year-old Hispanic woman presented with 5 days of subjective fevers, jaundice, nausea, vomiting, and right-sided abdominal pain. On presentation, she was febrile with borderline hypotension and tachycardia, abdominal tenderness, and laboratory values notable for leukopenia and transaminitis with direct hyperbilirubinemia. The patient received vancomycin, cefepime, metronizadole, and intravenous fluids per sepsis protocol. She was intubated [...]