Case Presentation: 47-year-old male veteran presented with one-month history of intermittent left-sided abdominal pain, vomiting, constipation and melena. Abdominal X-ray revealed small bowel obstruction. CT scan of the abdomen and pelvis with contrast revealed multifocal masses involving proximal to mid-small bowel with small bowel obstruction secondary to the mass at the level of jejunal and [...]

Case Presentation: A 75 year-old woman presented to the hospital with anasarca and worsening orthopnea for seven days. She was admitted for continued diuresis after failed outpatient management of acute-on-chronic heart failure exacerbation by her PCP. Recent imaging done in the outpatient setting had revealed new-onset ascites and a moderate-sized right-sided pleural effusion. The patient [...]

Case Presentation: A 59-year-old previously healthy man presented with subacute fatigue, back pain, and fevers. He developed gradual exertional intolerance in the preceding months which had progressively worsened prior to seeking medical attention. On the day of his presentation, he developed significant abdominal and atraumatic midline back pain. Vital signs at presentation were notable for [...]

Case Presentation: A 52-year-old male presented with one week of abdominal pain, myalgia, and diarrhea. The patient was referred to our Emergency Department after outpatient testing revealed an increase in serum creatinine to 11 mg/dL from 0.7 mg/dL six months prior.The patient had medical history of hypertension, gastroesophageal reflux disease, and former alcohol use disorder. [...]

Case Presentation: A 24 yo male with a history of juvenile idiopathic arthritis ( JIA), macrophage activation syndrome (MAS), and pyoderma gangrenosum presented with fever to 102.9F and rash for 2 days. He had a diffuse, erythematous, un-raised, itchy rash which started on his arms and spread to his chest and back. He had recently [...]

Case Presentation: The patient is a 53 year old female who presented with a black, patchy lesion under her eye that had been present for about 3 months. She said that it first began as a cyst that was manually drained and later scabbed over with occasional pain. As the pain persisted, she presented to [...]

Case Presentation: A 38-year-old African male with no medical history presented to the emergency department with chronic, intermittent epigastric abdominal pain. Physical exam revealed a diminished left radial pulse but was otherwise unremarkable. Labs were notable for an elevated C-reactive protein (CRP) to 23.7 mg/L (normal

Case Presentation: A 21-year-old male with end-stage renal disease for 3 years (cause unknown) presented to the hospital with a 19lb weight loss (10% of body weight) over 2 months. Exam was notable for jaundice, diffuse abdominal tenderness, and innumerable purple, papular lesions covering his body, which he had noticed for 8 months. Labs revealed [...]

Case Presentation: 56-year-old male with no significant medical history presented to our hospital with progressive monocular vision loss, initially referred by ophthalmology for new diagnosis of uveitis. He initially noticed blurring of vision in his right eye about one month prior to presentation. His ophthalmologist started him on a combination of atropine and Difluprednate eye [...]

Case Presentation: A 72 year old woman with osteoarthritis presented to with a 3-day history of fever and chills. A few days prior to presentation, she had received a glucocorticoid injection for left knee pain. Upon assessment of her initial vitals, heart rate was 122 bpm, blood pressure was 147/77 mmHg, respiratory rate was 22, [...]