Case Presentation: A 72-year-old female was admitted for bilateral lower extremity (LE) cellulitis. She reported a week of progressive bilateral LE swelling and pain that acutely worsened and a one-day history of erythema of both legs. She denied fevers or other infectious signs and symptoms but reported abdominal bloating. Cefazolin was started for cellulitis. On [...]

Case Presentation: A 72 year old man presented with acute onset expressive aphasia. His medical history was notable for hypertension and history of resected colon adenocarcinoma. Neurologic exam was remarkable for expressive aphasia but otherwise normal. Brain MRI was negative for stroke but showed a 0.8cm ring-enhancing, calcified lesion in the left frontal lobe with [...]

Case Presentation: A 39-year-old woman presented with one year of epigastric abdominal pain, progressive weakness and a 50-lb weight loss. Labs showed pancytopenia, most notably a Hgb of 5.0 g/dL. Abdominal CT scan revealed portal hypertension, possible cirrhosis and hepatic biliary dilation. EGD showed small esophageal varices. MRCP revealed a large soft tissue mass centered [...]

Case Presentation: A 79 year old man with a history of prostate cancer s/p transurethral resection of the prostate complicated by urethral stricture, urinary retention, and incontinence, congenital unilateral kidney, recurrent deep vein thromboses (DVT) not on anticoagulation, and bilateral knee replacements presented with swelling and redness of his right leg following a 6-hour drive [...]

Case Presentation: A 30 year-old female with a history of B-cell acute lymphoblastic leukemia with central nervous system involvement presented with fever, chills, and tachycardia six days after completion of scheduled intrathecal and systemic chemotherapy. Three weeks prior, an intraventricular catheter for administration of intrathecal chemotherapy had been placed without complications. Following the most recent [...]

Case Presentation: A 22-year-old female with a history of biopsy-proven eosinophilic esophagitis, gastroparesis, multiple food allergies, and intermittent amenorrhea presented to the emergency room with weakness and lightheadedness. In the past month she experienced a 15lb weight loss, early satiety, and increasing fatigue. She was being followed outpatient by a gastroenterologist for several months of [...]

Case Presentation: An 83-year-old woman presented as a transfer to our center for higher level of care in the setting of a mechanical fall with left femur fracture complicated by altered mental status (AMS) and acute onset atrial fibrillation (AF) with rapid ventricular response (RVR). A past medical history was significant for COPD, hypertension, hyperlipidemia, [...]

Case Presentation: A 69 year-old man with a history of urothelial carcinoma of the bladder status-post cystoprostatectomy with ileal conduit presented with fatigue, tachycardia, night sweats, and foul-smelling urine. At an outside hospital, he had recently been diagnosed with a new 11cm right renal mass with apparent diaphragmatic invasion. On exam, he was a pale, [...]

Case Presentation: A 59 year old female with a history of Hepatitis C cirrhosis, esophageal varices, type 2 diabetes mellitus, end-stage renal disease, and hypertension presented to the emergency department to be evaluated for fever at the behest of her dialysis center. She endorsed chills, diffuse abdominal pain, and dyspnea over the past week. She [...]

Case Presentation: A 41-year old-woman with history of Hashimoto’s thyroiditis was transferred from referring hospital (OSH) for persistent thrombocytopenia. Patient was well until one month prior to presentation, when she presented for right upper quadrant (RUQ) pain. The patient was diagnosed with gallstone cholecystitis and underwent laparoscopic cholecystectomy. At the time of her surgery, she [...]