Case Presentation: An 84-year-old male veteran with prostate cancer s/p prostatectomy in 2002 with positive margins, uncontrolled type 2 diabetes, untreated hepatitis C, 50-pack-year history, presented for admission after routine labs at his primary care physician’s office revealed prominent eosinophilia of 6,900 and hyponatremia. The patient’s main complaint was generalized pruritus and a one-month pruritic [...]

Case Presentation: A 61 year old female with Chronic Obstructive Lung Disease (COPD) on inhaled steroids underwent left lower lobectomy for Stage 1 Lung Adenocarcinoma in August 2017. While recovering, her house was flooded by Hurricane Harvey, in Houston, Texas. She was directly exposed to flood waters and subsequently lived with mold in her home. [...]

Case Presentation: A 58-year-old male was referred to our institution for outpatient ERCP after suffering an episode of severe hypertriglyceridemia-induced acute pancreatitis complicated by pseudocyst formation at a nearby community hospital five months prior. During that hospital admission, the patient was also diagnosed with type 2 diabetes mellitus. The outpatient ERCP was for a planned [...]

Case Presentation: A 73-year-old Iraqi man with asthma and type 2 diabetes who enjoys gardening was diagnosed with seronegative rheumatoid arthritis (RA) when he presented with joint pain and swelling in both hands and wrists. He was treated with prednisone (20 mg daily) and methotrexate. One month later, he developed swelling and ulcerative papules on [...]

Case Presentation: A 64-year-old man with diet-controlled type 2 diabetes mellitus and hyperlipidemia presented to an academic center with painless jaundice. He was in his usual state of health until 2 weeks prior to presentation when he noticed dark urine. He then developed jaundice 4 days before his presentation. Initial laboratory testing was notable for [...]

Case Presentation: A 70 year-old woman with no known history was admitted with symptoms of urinary incontinence and generalized weakness. Workup was notable for a positive urinalysis, positive Influenza swab, and serum sodium of 142mmol/L. She was started on ceftriaxone, oseltamivir and isotonic fluids (normal saline). On hospital day (HD) 2, her sodium was 159mmol/L, [...]

Case Presentation: A 45-years-old African American male with a past medical history of seizure disorder, chronic alcohol abuse, and cervical spine injury, presented to hospital after a witnessed tonic-clonic seizure episode that resolved spontaneously. Initial evaluation revealed hypotension (90/57mmHg), tachycardia (145), tachypnea (36), temperature of 39.1 degrees celsius, leukocytosis (24.2×10^3/microliter) with bandemia, and lactate of [...]

Case Presentation: Purulent pericarditis is rare in the post-antibiotic era. Even rarer is purulent pericarditis caused by Streptococcus Constellatus causing purulent pericarditis in an immunocompetent patient. Here we present a case of an immunocompetent patient who acquired this infection from an unknown source and deteriorated rapidly in spite of optimal medical therapy.A 68-year-old female presented [...]

Case Presentation: A 78 year old woman with a PMH of asthma, sinusitis, CAD with stents and recent influenza presents with chest pain. Her EKG was without ST changes and troponin was 0.08 ng/mL. Other labs were significant for WBC of 10,900 cells/uL, and absolute eosinophil count 2800 cells/uL. She was diagnosed with NSTEMI and [...]

Case Presentation: A 69-year-old Brazilian female who moved to the US in the 1990s with history of COPD, hypertension, and depression (treated 5 years ago with Seroquel) presented to the ER with 2 weeks of cough, diarrhea, and post-tussive emesis. The patient was febrile to 103 F, BP 96/58, tachycardic to 110, and hypoxic to [...]