Case Presentation: A 48-year-old male with a history of hypertension and type 2 diabetes was sent to the emergency department for a “prostate x-ray” by his primary care physician due to elevated creatinine, hyponatremia, and two-day history of gross hematuria. The patient denied dysuria, fevers, chills, night sweats, and cough. He did note weight loss [...]

Case Presentation: Gradenigo’s Syndrome, an extremely rare complication of untreated otitis media, is characterized by suppurative otitis media, pain in the distribution of the trigeminal nerve, and abducens nerve palsy (1). Its pathophysiology involves spread of bacterial infection from the middle ear to the petrous apex of the temporal bone and surrounding structures. Untreated, it [...]

Case Presentation: A 36 year old female with a past medical history of hypothyroidism, type two diabetes, asthma, polycystic ovarian syndrome, and bipolar disorder presents with sharp chest pain that radiates to her left neck and arm. She states that the pain started suddenly when she was sitting 10 hours ago and gets worse with [...]

Case Presentation: A 76-year-old man with bladder cancer presented with severe back pain and radiculopathy after receiving treatment with a transurethral resection and subsequent intravesical BCG therapy. His lumbar MRI showed degenerative and morphological changes suggestive of an infection (Figure 1). He was treated with L1-L5 laminectomies and foraminotomies. 3 weeks later, repeat imaging showed [...]

Case Presentation: A 55-year-old Hispanic male with PMH of hypertension presented to the emergency department (ED) with a 2-week history of flu-like symptoms including malaise, fever and chills, anorexia, dry cough and night sweats. In the ED he was found to be lethargic, short of breath, and had abdominal distention accompanied by urinary and bowel [...]

Case Presentation: We report a 22 year-old male with no past medical history presented to the emergency department with acute onset of weakness, most pronounced in the lower extremities. The patient was last reported to be in his normal state of health the night prior to presentation in which he consumed approximately six beers. Upon [...]

Case Presentation: A 29-year-old otherwise healthy man presented to the emergency room with five weeks of progressively worsening pruritus and fatigue. The patient denied recent ingestion of herbal supplements, and reported lifetime abstinence from alcohol use. Physical exam revealed jaundice and scleral icterus. No ascites or hepatomegaly were noted on initial exam. Admission labs revealed [...]

Case Presentation: A 65 year-old asymptomatic female was referred to a gastroenterology office for a new diagnosis of Hepatitis C. Labs were remarkable for mildly elevated ALT (49) and AST (53). A routine computed tomography (CT) of abdomen/pelvis revealed a 2.3 cm x 2.1 cm x 3.1 cm well circumscribed, enhancing, and hypovascular mass in [...]

Case Presentation: A 46-year-old female with obesity and type 2 diabetes mellitus presented with chief complaint of diarrhea for several days. Her diarrhea was watery, non-bloody, greenish in color, and occurred hourly. She had associated nausea, vomiting, and right upper quadrant (RUQ) abdominal pain. She denied recent travel, consumption of unusual foods, and knowing anyone [...]

Case Presentation: An elderly male with a pertinent past medical history of carpal tunnel syndrome, and chronic diarrhea, presents with complaints of progressively worsening anasarca and associated dyspnea. He has had multiple hospitalizations for dyspnea over the last six months, thought to be due to transudative pleural effusions. Outpatient work-up, including echocardiogram and subspecialty consultation [...]