Case Presentation: A 40-year-old woman with history of persistent severe hypertension despite multiple antihypertensive agents, chronic renal dysfunction due to single functional kidney , and calcific arterial disease (coral reef aorta) requiring previous aortobifemoral bypass presented to the hospital with oliguria, a blood pressure of 240/110 mmHg and hypertensive emergency as evidenced by acutely worsened […]

Case Presentation: A 50-year-old African American man with a sixteen year history of skin rash presents with worsening skin lesions and joint pain. The rash is diffuse, scaly, and pruritic, and the joints in all of his extremities are swollen and painful. Three years ago, a limited rheumatologic workup was negative, and he was diagnosed […]

Case Presentation: A 38-year-old female with past medical history significant for poorly controlled, insulin dependent, type two diabetes mellitus presented with shortness of breath, abdominal pain, polyuria, and polydipsia for two days. Patient had been noncompliant with her insulin regimen for at least one month. On admission, ABG showed a pH of 6.97, pCO2 of […]

Case Presentation: An 88-year-old female from Peru with history of hypothyroidism, rheumatoid arthritis treated with oral methotrexate, and multiple recent transient ischemic attacks presented with altered mental status, difficulty speaking, and right sided weakness. The patient was unable to fully participate in any examination or conversation. Initial labs, including HIV tests, were unremarkable and head […]

Case Presentation: A 73-year-old woman with a history of coronary artery disease and remote cervical cancer presented to the hospital with a two-month history of progressive leg weakness and confusion. Over the course of six weeks, symptoms progressed to flaccid paralysis and loss of sensation in both legs. Magnetic resonance imaging (MRI) demonstrated enhancing hemorrhagic […]

Case Presentation: A 70-year-old male presented with a low-grade fever, progressive weakness and urinary frequency. Prior to this admission, he had a diagnosis of recurrent urinary tract infection (UTI) that was treated with antibiotics. A CT scan of his abdomen and pelvis, performed out of concern for an abscess, revealed right-sided ureterohydronephrosis. A stent was […]

Case Presentation: A 60-year old male gardener presented with generalized body aches, night sweats, chills, malaise, fevers and headache (frontal and occipital) intermittently for a month. He reported abdominal pain, dyspnea, joint stiffness and myalgia. Around 2 weeks prior, the pain intensified and he received a treatment for upper respiratory infection with azithromycin. He finally […]

Case Presentation: 52-year-old male presented with six-week history of unintentional weight loss, decreased appetite and non-radiating dull suprapubic pain. Review of systems was notable for constipation, polyuria, polydipsia, nausea, and left leg swelling. No family history of cancer or blood dyscrasias. Physical examination revealed blood pressure- 194/114 mmHg, heart rate -105, distended abdomen with hypoactive […]