Case Presentation: A 70-year-old man with a history of testicular cancer in remission, diabetes mellitus type 2 (HbA1c:6.2), and isolated left CN VI and VII palsy presented with double vision and left-sided eye pain. One week prior to admission, the patient reported difficulty opening his left eye and double vision. Lubricant eye drops failed to [...]

Case Presentation: A 27-year-old pregnant woman with no significant medical history presented to the hospital in labor and underwent spontaneous vaginal delivery. Shortly after epidural analgesia and delivery of her child, she started having a severe, shooting headache radiating from her back to her temporal and frontal regions. She reported that the headache was worse [...]

Case Presentation: A 38-year-old Hispanic female with chronic constipation, anemia and numerous transfusions secondary to uterine bleeding presented to the emergency department with a two-week history of worsening bilateral lower extremity ascending numbness and weakness extending to her abdomen causing her difficulty with walking. She reported blurry vision, headaches, difficulty breathing, and 24 hours of [...]

Case Presentation: A 70 year old male with psoriatic arthritis on infliximab, hypertension, and chronic low back pain complained of three weeks of intermittent fevers, headaches and worsening back pain after returning from the Dominican Republic. He reported contact with a box turtle and a non-traumatic bird bite but denied sick contacts. In addition to [...]

Case Presentation: A 40 year old previously healthy female was incidentally found to have elevated transaminases on routine lab work. She was sent to our hospital for further evaluation. On admission, she complained of fatigue, right sided abdominal discomfort, and jaundice of a few weeks. She denied taking prescription medications but reported taking a supplement [...]

Case Presentation: A 56-year-old-male with hypertension, diabetes mellitus, chronic kidney disease (CKD) stage 3 presented with a 6-month history of intermittent lower extremity swelling and a 3-week history of scrotal and abdominal swelling. 9 months prior, he was noted to have worsening renal function and nephrotic range proteinuria (13g) prompting two renal biopsies which demonstrated [...]

Case Presentation: A 61-year-old male with a past medical history of type 2 diabetes mellitus (T2DM), hypertension, hyperlipidemia, coronary artery disease (CAD) with multiple previous PCIs and status post CABG 6 days prior, presented to the ED with a 1 day history of nausea, vomiting, upper abdominal discomfort and chest pain. He was maintained on [...]

Case Presentation: A 37 year-old woman with a past medical history of depression and chronic knee pain presented with complaints of two day duration non-radiating 8/10 epigastric and lower abdominal pain associated with nausea and vomiting. Vitals sings were normal. Abdomen was soft, non-distended with generalized tenderness, but without masses, rebound, or guarding. Lipase was [...]

Case Presentation: A 44-year-old man with thrombocytopenia and hypertension was admitted with acute left pontine ischemic stroke. One week later, he underwent computed tomography (CT) of abdomen for persistent abdominal pain and fever, revealing multiple emboli involving the pulmonary, mesenteric and splenic artery. Doppler studies revealed right lower extremity deep vein thrombosis (DVT) and arterial [...]

Case Presentation: A 84-year-old woman, with history of diverticulosis and colonic angiodysplasia treated with argon photocoagulation in the past, underwent esophagogastrodudenoscopy (EGD) and colonoscopy for lower gastrointestinal bleeding. She was found to have multiple angiodysplastic lesions in the gastric body, duodenum and proximal transverse colon which were successfully coagulated for hemostasis using argon plasma at [...]