Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, hyperesthesia, and stiffness. Physical exam revealed well-demarcated cyanosis of the fourth, fifth, and medial third digits extending to the wrist [...]

Case Presentation: A 40-year-old man presents with painful, progressive bilateral vision loss which began two months prior, and was described as the patient feeling as if he were “looking through a straw”. He noted excruciating eye pain, redness, and tearing. Despite work as a tree trimmer, patient denied known trauma. He endorsed a twenty-pound unintentional [...]

Case Presentation: A 53-year-old man with a history of insulin-dependent type 2 diabetes mellitus presented with the complaint of abdominal pain, emesis and poor oral intake for three days. CT scan revealed non-obstructing nephrolithiasis. He was started on continuous IV fluids and pain management. Initial urinalysis revealed glucosuria >1000 mg/dL and negative ketones. Home medications [...]

Case Presentation: A 49 year-old woman with end stage renal disease on peritoneal dialysis (PD) for the past year, presented with progressively worsening abdominal pain, fevers, and nausea. This was her second presentation as she had been treated with antibiotics for presumed culture-negative PD-catheter-associated bacterial peritonitis three weeks earlier without improvement. Admission vital signs and [...]

Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed [...]

Case Presentation: A 30-year-old obese male presented with 3 weeks of cough with hemoptysis, recent episode of syncope and decreased exercise tolerance for 6 months. Vitals in the ED: BP 134/84, HR 108, RR 18, Temp 98.1, SpO2 95%. Physical exam was normal. EKG showed TWI in v1-v4, bedside echo showed a dilated RV, labs [...]

Case Presentation: A 74-year old-female presented with visual hallucinations. These hallucinations were clear, vivid, episodic, and increasing in frequency. Starting 3 weeks prior to presentation, she saw a little boy in her room that was not there. Symptoms progressed with persistent difficulty seeing bugs, snakes, and a little girl. Her past medical history included type [...]

Case Presentation: Breast cancer accounts for approximately 266,000 cases each year and is responsible for over 40,000 deaths in the United States. The most common sites of metastasis include bone, liver, lungs and brain. The estimated incidence rate of breast cancer metastases to the stomach is only 0.3%. Diagnosis of gastrointestinal metastasis can be complicated [...]

Case Presentation: This is a case of a 28-year-old transgender male on Testosterone for one year, with no past medical or surgical history, no pertinent family history, and current daily smoker, who presented to the emergency room with abdominal pain. The patient had presented to the ED five days earlier for vomiting and was discharged [...]

Case Presentation: A 29 year-old Hispanic male with past medical history of AIDS and multiple-associated co-infections including CNS toxoplasmosis, CMV retinitis, genital HSV, PCP, noncompliance and multiple substance abuse, presented to the ED with 10 days of watery non-bloody diarrhea, abdominal pain, fever, chills, anorexia and dry cough. Patient was admitted for similar symptoms nine [...]