Case Presentation: A 56 year-old woman with past medical history of gastritis and past surgical history of appendectomy and C-section presented with a six-month history of intermittent abdominal discomfort, non-bloody diarrhea, nausea and bloating that was significantly worsening during the week prior to admission. In a span of six months, the patient was noted to […]

Case Presentation: An 80-year-old man with hypertension, coronary artery disease s/p PCI and new-onset depression on SSRI presented with slurred speech due to a sensation of tongue heaviness that started 3 days prior to presentation. Acute stroke was ruled out and further history revealed the patient experienced multiple falls over the past 4 years, each […]

Case Presentation: A 50-year-old male presented to the emergency room with worsening left lower quadrant abdominal pain of two days duration associated with subjective fever and diarrhea. Three weeks prior to his presentation, he was diagnosed with acute diverticulitis confirmed by abdominal CT scan and completed a seven-day course of Ciprofloxacin and Metronidazole. Physical exam […]

Case Presentation: A 30 year-old female presented postpartum day 1 following a normal vaginal delivery from an outside hospital after chest CT angiography (CTA) identified a 2.5 cm pericardial effusion. Review of systems was positive for dry cough, left sided chest pain, dyspnea on exertion, recent post-partum abdominal pain, chills, and diaphoresis. On arrival to […]

Case Presentation: 59 year old woman with a history of recently diagnosed rheumatoid arthritis (RA) not on therapy presents with substernal non radiating chest pain and right upper quadrant pain worsening with inspiration and dyspnea on exertion (DOE) for one week. Patient also reported dysphagia, dry mouth and Raynaud’s phenomenon. Exam showed normal vital signs […]

Case Presentation: 82-year-old man on chronic Warfarin presented for evaluation of spontaneous right lower extremity swelling with bruising. Workup showed hemoglobin of 9.5 g/dL, platelet of 286 K/µL, PT 47.4 seconds, INR 5.0, and PTT > 200 seconds. CT of abdomen and leg revealed intra-abdominal hemorrhage and subcutaneous hematoma of the right leg. Within the […]

Case Presentation: A 28-year-old man with ulcerative colitis treated with adalimumab presented with headache, fever and sinus symptoms that progressed over two weeks to neck stiffness, “clouded” thinking, and intermittent left arm and facial numbness. On physical examination, he had normal cardiorespiratory findings. He had mild nuchal rigidity but an otherwise normal neurologic examination. CT […]

Case Presentation: 68-year-old obese woman with history of recurrent urinary tract infections (UTI) presented with weakness and abdominal pain after failed outpatient treatment for UTI with Nitrofurantoin. During hospitalization, she was noted to be dyspneic and hypoxemic. Patient denied chest pain or discomfort, paroxysmal nocturnal dyspnea, orthopnea, dizziness, syncope or pre-syncope, slurred speech or focal […]

Case Presentation: A 56 year-old female teacher presents with 1-week history of shortness of breath. She noted progressive shortness of breath on minimal exertion over the past week. She denied associated pedal edema, orthopnea, epistaxis or chest pain. She noted associated cough with white frothy sputum and subjective chills. She denied rashes, exposure to sick […]

Case Presentation: We present a previously healthy 22-year-old female presenting with disorganized behaviors, restlessness and sub-acute decline in mental status. There was no other relevant medical, personal or familial history. However, she had stressors three days before initial change in behavior, such as infidelity with her significant other and she had tremendous anxiety and guilt […]