Case Presentation: A 50-year-old gentleman was admitted to the hospital medicine service for workup and evaluation of 3 days of epigastric abdominal pain. His history was significant for two recent admissions for episodes of acute pancreatitis within the preceding 2 months and alcohol use disorder (4 weeks sober) without cirrhosis. Physical exam was remarkable for [...]

Case Presentation: A 71-year-old man presented with 2 months of progressive diffuse weakness and myalgias to the point of not being able to ambulate without a cane. He noticed lumps on his left forearm during that time, which improved spontaneously. He also endorsed photophobia, right eye swelling, and pain worsened by extraocular movement. He had [...]

Case Presentation: A 50-year-old man without significant medical history presented with two months of purpura over his lower extremities and abdomen, ankle pain, and two days of severe abdominal pain associated with vomiting and melena. His symptoms started following a respiratory infection. On presentation, he was afebrile with normal vital signs. Physical exam was notable [...]

Case Presentation: A 56-year-old woman with a history of gastric bypass surgery six years prior, vitamin B12 deficiency, latent TB, and recent bilateral granulomatous panuveitis of unclear etiology one year prior (treated empirically with TMP/SMX for possible toxoplasmosis) presented to the hospital with falls at home. On further history, she endorsed four months of gradually [...]

Case Presentation: A 54 year old man with no known past medical history who presented with complaints of shortness of breath and a new axillary mass for the last three weeks. He previously moved from Kenya 6 years prior with no recent travel. As his mass grew, he began to experience increasing fatigue and shortness [...]

Case Presentation: 81 year-old man with a history of atrial fibrillation on Warfarin and bioprosthetic aortic and mitral valves presented with dark urine and shortness of breath. He described progressive shortness of breath and reduced exercise tolerance, unable to walk upstairs to his apartment. His urine had become “the color of eggplant”. On exam, he [...]

Case Presentation: A 34-year old male with a history of acquired immunodeficiency syndrome (CD4 count 268 cells/µL, viral load 31 copies/mL) and Kaposi’s sarcoma presented with two days of diarrhea, abdominal pain, and a new rash on his hands. He had unprotected sexual intercourse with a new partner a few days prior to admission. On [...]

Case Presentation: A 50-year-old female was admitted with shortness of breath, cough and fevers. Her past medical history was significant for breast cancer undergoing active neoadjuvant chemotherapy with doxorubicin and cyclophosphamide. She was hypoxic requiring 2L of oxygen via nasal cannula and febrile to 39.0°C. Labs revealed a WBC of 12.0 x 109/L (4.5-11.0 x [...]

Case Presentation: The patient was a 28-year-old male with past medical history significant for polysubstance abuse including alcohol and opiates, as well as chronic DVTs on coumadin, who originally presented to the hospital for recurrent pancreatitis. Two weeks into his admission, he abruptly became hypotensive (MAP < 65mmHg), tachycardic, and hypoxemic (SpO2 < 88% on [...]

Case Presentation: A 71-year-old man with a history of Meckel’s diverticulum diagnosed by CT scan 10 months prior, diverticulitis, colonic polyps, intestinal hernias, iron deficiency anemia, and hypothyroidism presented to the ED with intermittent episodes of diffuse abdominal pain over the preceding 10 months with increasing frequency starting 3 days prior to arrival. Family history [...]