Case Presentation: A 57-year-old Japanese woman with a history of atopic dermatitis and recurrent cystitis presented to our hospital with a 4-week history of intermittent fever with chills, unlocalized mild headache, appetite loss, and 6-kg weight loss. Four weeks earlier, she developed fever without any localized symptoms, except for a mild headache. Her symptoms did [...]

Case Presentation: A 57-year-old female with a history of herpes simplex virus was seen at Rheumatology clinic for 3 weeks of myalgias and arthralgias, positive rheumatoid factor and elevated inflammatory markers. By her first visit, her symptoms resolved. Review of systems revealed chronic sinusitis associated with nasal septal deviation and nasal polyps, which previously failed [...]

Case Presentation: A 44-year-old man previously healthy except sleep apnea syndrome presented with low grade fever and feeling of residual urine, but he returned home because of no evidences of urinary tract infection and incontinence. On the next day, he returned to ER with abdominal bloating and admitted, because abdominal CT showed paralytic ileus without [...]

Case Presentation: A 56-year-old male with uncontrolled Type II diabetes presented to urgent care with back pain in the absence of urinary tract symptoms. Urine cultures were positive for Methicillin-resistant Staphylococcus aureus (MRSA) and he was diagnosed with pyelonephritis and treated with Bactrim. His back pain persisted and he re-presented to the outside hospital. Finally, [...]

Case Presentation: A 42-year-old man was diagnosed with AIDS after presenting to his PCP for subacute subjective fevers, unintended weight loss, headache, and generalized malaise. He was referred to infectious diseases and was started on Biktarvy for ART as well as Bactrim and Zithromax for prophylaxis for a CD4 count of 18 cells/mm3 and HIV [...]

Case Presentation: A 56 year-old male with past medical history of chronic pancreatitis, alcoholic cirrhosis, cured hepatitis C, iron deficiency anemia and gastric arterio-venous malformations (AVM) status post cauterization presented for screening colonoscopy and esophagogastroduodenoscopy (EGD). EGD showed several nonbleeding gastric AVM status post Argon Plasma Coagulation. The colonoscopy was unremarkable without any reported difficulty [...]

Case Presentation: A 23-year-old male was transferred to a tertiary medical center for abnormal CT head imaging after presenting with 1 week of left-sided headache. He reported that his headache was waking him from sleep and was associated with morning vomiting. He denied fevers, chills, cough, or weight loss. His neurological exam was unremarkable, as [...]

Case Presentation: A 48-year-old woman presented with a rapidly progressive brown tumor of the right anterior aspect of her hard palate. She had end stage renal disease for decades and secondary hyperparathyroidism for 16 years, which progressed to tertiary hyperparathyroidism within the past year. Two months prior to referral, she first noticed a lesion in [...]

Case Presentation: We present a case of a 37-year-old female with a past medical history of cerebral palsy and iron deficiency anemia due to heavy menstrual periods who presented with right-sided leg weakness for a few hours. Upon the patient’s arrival to the emergency room a stroke code was called. A CT scan of the [...]

Case Presentation: 56-year-old man with past medical history of abdominal aortic aneurysm surgery was brought to the Emergency Room for change in mental status and having bloody vomitus and melenic stool. On admission, abdominal exam was unremarkable, blood pressure was 110/77 mmHg, heart rate 103/min, Temperature 99.8 °C, Respiratory rate 20 per minute, hemoglobin 11.1 [...]