Case Presentation: A 39 year old female presented on day 10, status post (s/p) laparoscopic gastric sleeve, with nausea, vomiting, abdominal pain and loose mucoid stools intermittently since surgery. She had history of rheumatoid arthritis, morbid obesity, with provoked lower extremity deep venous thrombosis (DVT) and pulmonary embolism (PE) who had previous IVC filter and […]

Case Presentation: A 71 year old Caucasian man with uncontrolled diabetes mellitus, stage III chronic kidney disease, hypertension, hyperlipidemia, sick sinus syndrome, and osteomyelitis of the right 2nd metatarsal s/p amputation, was transferred from an outside hospital for evaluation of rash and acute on chronic kidney injury. He first presented to the outside hospital for […]

Case Presentation: A 61-year-old female with hypertension was sent to the hospital after anemia was noted on routine outpatient blood tests. Her hemoglobin was 6.8 g/dL with an MCV of 97.1 fL/red cell and an RDW of 19.2%. Platelet count was 146 k/μL and white blood cell count was 4.0 k/μL. She denied chest pain, […]

Case Presentation: A 19-year-old woman with a history of anxiety was admitted to the hospital with one week of fever to 103 degrees F, sore throat, fatigue, and severe arthralgias. History was notable for pleuritic chest pain, an intermittent rash over her arms and thighs, and a 23-pound weight loss over 12 months, which she […]

Case Presentation: A 28-year-old gentleman with history of paroxysmal atrial fibrillation s/p pulmonary vein isolation presented with 2 days of dizziness. Patient described the dizziness as a lightheaded sensation accompanied by palpitations. He had experienced a similar sensation with prior episodes of atrial fibrillation, though he had not had an episode of atrial fibrillation since […]

Case Presentation: A 74-year-old female presented with a history of chronic diarrhea of 3 years duration, weight loss, blood in the stool, and abdominal cramps. Past medical history was significant for hypertension, metabolic syndrome, and previous episode of perforated diverticulitis. Physical examination identified a nontender 2 cm mass in her left submandibular area with no […]

Case Presentation: A 39 year old man with history of inflammatory acne and ulcerative colitis on immunosuppressants vedolizumab and azathioprine presented to an outside hospital for evaluation of low back pain, bilateral axilla pain and development of painful pustular abscesses over 1 month. Lumbar CT showed possible subcutaneous abscess around L4-L5 region. Patient underwent incision […]

Case Presentation: A 45-year-old male with no known past medical history presented with a chief complaint of fever, right sided ear pain and dysphagia for 2 weeks. On presentation he was tachycardic (145/min), hypotensive (SBP in the 70s), and tachypneic (36/min). He was volume resuscitated and was empirically started on broad-spectrum antibiotics with imipenem and […]

Case Presentation: A 38-year-old male with past medical history of HIV, congenital blindness of the left eye presented with a chief complaint of blurred vision in the right eye since past 6 months. He reported that blurring of vision fluctuates with dark spots in between. He had full work up done in his past hospitalization. […]

Case Presentation: A 52 year old female with history significant for Stage IV Renal cell carcinoma (RCC) of pure sarcomatoid type (100%) on active chemotherapy with Lenvatinib and Everolimus, portal vein thrombosis, and sarcoidosis presented with nausea and abdominal pain. Her exam was pertinent for sinus tachycardia and diffuse abdominal tenderness. Initial labs were significant […]