Case Presentation: A 82 year old Caucasian male with history of long standing well controlled diabetes mellitus type 2 since 2010, gastroparesis, and GERD presented to the ED with 2 episodes of “dark, tarry” stools for 1 day onset with resolution. On review of systems, the patient endorsed 32 pound weight loss over 6 months, [...]

Case Presentation: A 55 year-old previously incarcerated male with a history of treated tuberculosis presented to the emergency department (ED) with right hand infection. On admission, he was hypoxic with notable skin lesions on bilateral hands and face. He denied any recent travel. He had a remote employment history of yardwork, but not within the [...]

Case Presentation: A 65 year-old man was admitted to the inpatient medical service with worsening cough and dyspnea. He also reported progressive muscle weakness and myalgias over the past several weeks. His past medical history was significant for tobacco use, hypertension, hypothyroidism, and obesity. On admission, he was hemodynamically stable and afebrile with mild tachypnea [...]

Case Presentation: An 87-year-old female with a history of end stage renal disease on hemodialysis (HD), presented to the ED with slurred speech, altered mental status, and generalized weakness for a day. At baseline she was alert and oriented to person, place, and time. Four days prior to admission, she was diagnosed with herpes zoster [...]

Case Presentation: 74-year-old male with history of NASH cirrhosis with Grade I esophageal variceal bleeding history, SDH s/p burr hole drainage with course complicated by seizures on Keppra and Vimpat, type 2 diabetes mellitus, and coronary artery disease status post 1 drug eluting stent who presented with worsening confusion, fatigue and difficulty walking x 3-4 [...]

Case Presentation: A 45 year old male presented to the emergency room with severe nausea and vomiting. His symptoms began a month before, with intractable vomiting that was worse after meals and associated with a forty pound weight loss. His social history was remarkable for heavy marijuana use. He was seen previously in the emergency [...]

Case Presentation: A 30 year-old female with AIDS presented with three weeks of headache, dry cough, odynophagia, vomiting, fatigue and weight loss. She had a history of cryptococcal meningitis requiring lumbo-peritoneal drain four years prior but was lost to follow up, with non-adherence to maintenance and antiretroviral therapy. She had normal vital signs and appeared [...]

Case Presentation: A 73-year-old male presented with acutely worsening left eye pain, lacrimation and swelling which had progressed over 3 days. He reported non-traumatic acute onset of left eye blindness 3 weeks prior to that, with no associated headache, fevers, chills or other constitutional symptoms. The patient had early cataracts, and an otherwise uneventful ocular [...]

Case Presentation: A 40-year-old Caucasian male with a past medical history of polysubstance abuse, with a preference for cocaine, presented to the emergency department complaining of right groin pain. He was diagnosed with purulent cellulitis and broad spectrum intravenous antibiotics were initiated. Initial blood work found low WBC (3.7 x 103/mcL), with a low neutrophilic [...]

Case Presentation: A 36-year-old Laotian female with a history of hypothyroidism presented with 3 days of worsening symmetrical proximal muscle weakness and anasarca. She was recently seen at another hospital and presented with one day of worsening throat swelling and diffuse anasarca. Over the next 2 months, she developed dysphagia requiring gastrostomy tube and was [...]