Case Presentation: A 27 y/o M presented after an episode of confusion and abnormal behavior. Patient reported 1 week of intermittent headaches, nausea, emesis, and dizziness. He had no sick contacts or recent travel. Family history was significant for SLE. On exam he had diffuse weakness but was otherwise neurologically intact without meningeal signs. Initial [...]

Case Presentation: This is the case of a 55-year-old female with history of asthma who presented with chief complaint of abdominal pain. The patient endorsed an 8-month history of intermittent stomach discomfort that acutely worsened to severe RUQ pain, nausea, and diarrhea. Social history was notable for recent travel to China and herbal supplement use. Patient’s outpatient [...]

Case Presentation: A 54 year-old woman with history of pulmonary embolism and deep vein thrombosis (with prior placement of inferior vena cava (IVC) filter on apixaban) presents with recurrence of hematemesis and dark stool. This was her third hospitalization with GI bleed requiring transfusion in the last few weeks. Her prior work up included multiple [...]

Case Presentation: A 78 year old female with history of gastroesophageal reflux disease, gastritis, hypothyroidism, hypertension, and chronic kidney disease stage 3 was admitted to our tertiary care hospital with complaints of chest pain, bloating, nausea, and feeling of food getting stuck in the epigastric region. She had a longstanding history of gastritis and epigastric [...]

Case Presentation: A 36-year old male with a history of paraplegia secondary to a motor vehicle accident and long-standing polysubstance abuse presents to the ED for worsening facial wounds that first appeared two years ago. The patient states the most recent lesion on the upper back appeared two months ago and was preceded by cocaine [...]

Case Presentation: We present a 68-year-old woman who was in her usual state of health until July 2019 who presented with abdominal pain, back pain along with unintentional weight loss. Imaging revealed a mass in her pancreatic body which was confirmed with EUS and biopsy as invasive pancreatic adenocarcinoma. In late August, she presented with [...]

Case Presentation: A 67-year-old male with history of alcohol abuse and chronic hyponatremia related to beer potomania presented to hospital with nosebleed and coincidently found to have hyponatremia of 118 meq/L and hypokalemia of 3.3 meq/L. He was treated with fluid restriction, Lasix 20 mg and sodium chloride 2 gm daily. Upon outpatient follow up [...]

Case Presentation: A 76-year old man presented to emergency department for 2-week history of right buttock pain, swelling, and drainage. On presentation, he had a temperature of 101.3 F, otherwise hemodynamically stable. Physical examination revealed right buttock erythema and serosanguinous purulence (figure). There were no cardiac murmurs. Leukocytes count was within normal limits. CT abdomen [...]

Case Presentation: 82-year-old female with atrial fibrillation, non-ischemic cardiomyopathy (EF 25%), rheumatoid arthritis, bed bound at home with hospice care presents for acute encephalopathy and tachycardia. Patient’s son (the primary caregiver) reported that patient is on four drops of oral 1% atropine solution daily for bronchorrhea. Accidentally a family member who is not a primary [...]

Case Presentation: A 31-year old African American man with no prior medical history presented to the emergency department with epigastric abdominal pain and vomiting. The abdominal pain began while he was on a plane home from a weekend of binge drinking in Miami. The pain was described as sharp with occasional radiation to the back. [...]