Case Presentation: A 63-year-old man with lung adenocarcinoma with multiple rib metastases and lytic spinal lesions was receiving palliative radiation treatment when computed tomography (CT) incidentally revealed a fluid collection along the anterior cecum with pneumatosis. Cultures taken during CT-guided abscess drainage were positive for piperacillin-tazobactam-sensitive enterococcus, and the patient was started on antibiotics. His [...]

Case Presentation: A 47-year-old female with ESRD, chronic hypotension, anemia of chronic disease, depression and anxiety presented with painful chronic non-healing bilateral lower extremity wounds. Her wounds started about 3 months prior as superficial hyperpigmented painful areas which had gradually become indurated and subsequently ulcerated. Her wounds were extremely painful, limiting her ability to move [...]

Case Presentation: A 91-year-old healthy Taiwanese female presented with a worsening skin lesion on her right forearm. Initially, she had mild skin breakdown, which progressed to redness, swelling and increased warmth to the touch. The patient noted some purple spots in her lower extremities, especially around her right knee. The female patient denied any swollen [...]

Case Presentation: A 19-year-old man with no medical history presented to gastroenterology clinic with four days of nausea, vomiting, malaise, fevers, and epigastric pain. An esophagogastroduodenoscopy (EGD) was scheduled for the following day. The next morning, the EGD was cancelled when he was found to be to be hypoxemic on pre-procedure vital signs and was [...]

Case Presentation: A 30 year old man with a history of type 1 diabetes mellitus and bioprosthetic aortic valve replacement (AVR) for endocarditis presented with 2 days of left eye pain and vision loss associated with fevers, headache, and nausea. He reported intravenous drug use (IVDU) 4 days prior to admission after 14 months of [...]

Case Presentation: A 70-year-old female with a history of lobular carcinoma of the breast, status-post mastectomy followed by adjuvant radio-chemotherapy in remission for 4 years admitted with a complaint of right upper quadrant pain and jaundice. Examination was positive for icteric sclera and ascites. Her hemoglobin was 8.8 gm/dL; mean corpuscular volume of 90.5 fL; [...]

Case Presentation: A 77-year-old African American female with rheumatoid arthritis on chronic prednisolone presented with fever, weakness and unsteady gait. Further history revealed latent tuberculosis (TB) infection treated over 15 years ago and granulomatous abdominal lymphadenopathy three years ago. Physical exam revealed fever and limited left hip mobility due to weakness and pain. Labs showed [...]

Case Presentation: 36-year-old male with past medical history of end stage renal disease (ESRD) on PD for 5 years, was admitted with chief complaints of abdominal pain, vomiting and diarrhea for 3 days. Examination revealed diffuse abdominal tenderness, without any rebound tenderness or guarding. PD catheter site was in place with no surrounding tenderness, or [...]

Case Presentation: 54 year old Caucasian male admitted with complaints of intractable radicular low back pain, headache, nausea and vomiting for a week. 4 weeks ago, he had an annular rash, which was treated as cellulitis from urgent care, with cephalexin for 7 days. His vitals were normal, physical examination revealed bilateral positive SLR, otherwise [...]

Case Presentation: We report a case of subacute progressive cerebellar ataxia in a 56-year-old male with significant smoking history and COPD, presenting 3 weeks after the start of dizziness and gait ataxia. The patient had associated dysmetria and balance issues, which progressively worsened prompting admission to an outside hospital. There, a CT head was found [...]