Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have [...]

Case Presentation: A 69 year old male with past medical history of hypertension and lumbar spinal stenosis presented with numbness of the first and second digits of the left hand that progressed to weak grasp over the previous 24 hours. On arrival, vital signs were normal. Exam was significant for a well appearing male in [...]

Case Presentation: A seventy nine year-old female with a past medical history of hypertension presents to the Emergency Department with abdominal pain. She reports a decrease in appetite for a few months as well as increasing abdominal discomfort. Her abdominal pain had started three days before and she describes it as “being punched in the [...]

Case Presentation: A healthy 39-year-old man was admitted to the hospitalist service for an extensive rash that was suspicious for Stevens-Johnson Syndrome (SJS). He presented with diffuse bullae and desquamation of the pelvis and lower extremities (Image A). One week prior to admission, the patient applied topical Nigella sativa oil (colloquially known as black cumin [...]

Case Presentation: A 76 year old male with past medical history of hypertension, hepatitis C, and unprovoked pulmonary embolism presented to an outside hospital with multiple complaints. He first noticed fatigue over weeks and then developed fevers for one week. He also endorsed several days of pain and swelling of bilateral lower extremities and severe [...]

Case Presentation: A 69-year-old male with a history of bladder cancer, adult-onset asthma, and stage IIIa chronic kidney disease, presented to his PCP and was found to have an elevated WBC. Upon further questioning, the patient reported non-productive cough, rhinorrhea, sinus congestion, malaise, myalgia, and arthralgia. He was started on supportive care for a suspected [...]

Case Presentation: Epidural-Esophageal fistula is an uncommon adverse event after esophageal perforation. The presenting symptoms may mimic other more common conditions, which may lead to incorrect diagnosis. We present a patient with esophageal perforation of unknown etiology, complicated by spinal epidural abscess.52-year-old female with a history of liver cirrhosis secondary to hepatitis C, endometrial carcinoma [...]

Case Presentation: A 61-year-old female with a past medical history significant for hypertension well controlled on carvedilol and left elbow fracture status post fixation 2.5 weeks prior presented to the hospital secondary to lightheadedness. Patient had been experiencing waxing and waning lightheadedness for 3 days, worse when standing from the seated position and walking. She [...]

Case Presentation: A 39-year-old male with a past medical history significant for PTSD, depression, and asthma presented to the hospital secondary to suicidal ideation. Patient was reportedly found on an overpass by the police where he was intending to jump. Medications that the patient was currently prescribed were clonazepam, prazosin, sertraline, and zolpidem; however, patient [...]

Case Presentation: A 39-year-old construction worker with no past medical history presented to the hospital with a 2-week-history of fatigue and left upper quadrant abdominal pain associated with intermittent high fevers and chills. Patient reports his 9-year-old daughter was sick with fevers and an upper respiratory tract infection a month ago right after a camping [...]