Case Presentation: The patient is an 83-year-old female with hypertension, hyperlipidemia and carcinoid tumor with metastasis to the liver. Two months after her oncologic diagnosis, she presented to the hospital for severe dyspnea and palpitations. Her dyspnea had been progressively worsening for six months; the palpitations were associated with exertion and resolved with rest. Her [...]

Case Presentation: A 76-year-old Chinese woman with history of cryptogenic cirrhosis (MELD-Na 25) presented to our hospital with 1 week of worsening jaundice, abdominal distension, and right upper quadrant pain. Cirrhosis was diagnosed by imaging on admission 2 months previously and presumed to be secondary to Hepatitis C infection due to antibody positivity. CT of [...]

Case Presentation: A 29-year-old woman presented to the emergency department for a 5-day history of persistent fever, sore throat, diffuse myalgias, and epigastric abdominal pain. The patient was recently diagnosed and treated for pelvic inflammatory disease after unprotected intercourse with a new sexual partner. On examination, she was tachycardic, hypotensive, afebrile and was noted to [...]

Case Presentation: A 43-year-old woman was admitted to the hospital for increasing lower extremity swelling and dyspnea on exertion. Past medical history is pertinent for hypertension, obesity, and stroke. A few months prior, she had a hysterectomy for leiomyomata. Physical examination was within normal limits except for jugular venous distension and irregular heart rate and [...]

Case Presentation: A 21-year-old woman was referred to the hematology clinic for further workup for thrombocytosis which was found upon evaluation for vasovagal syncope. The patient was asymptomatic with no pertinent past medical or family history. Upon presentation, the patient was vitally stable and physical examination was normal. Labs were relevant for a white blood [...]

Case Presentation: A healthy 38 yo woman presented to hospital with 3 weeks of fatigue. She was recently treated for a urinary tract infection but continued to feel unwell. She complained of mild LUQ abdominal pain. On review of systems she endorsed weight loss, fever and night sweats but denied chest pain, dyspnea, easy bleeding, [...]

Case Presentation: Introduction: Renal cell carcinoma (RCC) is classically associated with the triad of abdominal pain, hematuria, and a palpable mass, but its variability in clinical presentation has earned it the label of “internist’s tumor” (1,2). Liver dysfunction has been observed as a result of metastatic disease and a non-metastatic paraneoplastic syndrome called Stauffer’s syndrome [...]

Case Presentation: 77-year-old Caucasian male presents to the ER due to progressive shortness of breath impacting his activities of daily activity. Shortness of breath started 2 weeks ago and was associated with a hacking cough and minimal sputum production for which he visited his physician’s office and received a steroid shot for “bronchitis”. On further [...]

Case Presentation: A 30 year old female without any past medical history presented to the Emergency Department for 10 days history of persistent fevers. The fever was as high as 104°F and was accompanied by myalgias, headaches, palpitations, and diaphoresis. The remaining review of systems was negative. Aside from fever and tachycardia, a complete physical [...]

Case Presentation: 81-year-old man initially presented to his primary care physician for a persistent cough of three weeks associated with new onset shortness of breath when climbing stairs. He had a normal chest X-Ray, but also a mild anemia. Initial work-up was targeted at evaluation for a gastrointestinal bleed. He underwent a CT abdomen/pelvis, upper [...]