Case Presentation: A 62-year-old man with a history of hypertension, hyperlipidemia, and melanoma presented to our tertiary care hospital from an outside institution with 3-4 weeks of rapidly progressive skin nodules, a 10 pound weight loss, and diffuse joint aches. The nodules were of varying sizes, first appearing along his clavicle and progressively spreading throughout [...]

Case Presentation: A 45 year-old Cambodian female with no past medical history presented to the clinic with a mild cough. Her medical history was notable for never smoking, occasional alcohol use, and no recreational drug use. She had no known occupational exposures and no family history of malignancy. Initial treatment for gastroesophageal reflux disease and [...]

Case Presentation: A 61-year-old woman initially presented to our clinic with a sternal fracture after “being hugged too tightly” by a friend. Her physical exam was notable for tenderness to palpation over the 4th intercostal space bilaterally. Sternal x-ray showed a non-displaced fracture along with diffuse demineralization of her sternum. Subsequent DXA scan showed osteoporosis [...]

Case Presentation: A 64-year-old woman with uncontrolled type 2 diabetes mellitus presented with five months of constant, stabbing left temporal headache radiating to the ear, jaw, and neck. She had associated progressive neurologic deficits, including blurred vision, flashing lights, and subacute left-sided hearing loss. She had presented to another hospital two months prior to the [...]

Case Presentation: A 30-year-old-woman presented to the hospital for unilateral headaches of one-week duration. Her headache was described as progressive onset, dull, radiating to the neck, and was associated with nausea and vomiting. Past medical history was notable for recent laparoscopic removal of ovarian cyst and sinusitis. Her only medication was a combined estrogen progesterone [...]

Case Presentation: An 83-year-old man presented to the hospital with eight days of shortness of breath and non-productive cough. His medical history was notable for chronic systolic heart failure, coronary artery bypass graft surgery, and hypertension. A review of systems was positive for myalgia, subjective fevers, fatigue, anorexia, and unintentional weight loss of 5 pounds [...]

Case Presentation: A 33-year-old obese woman with no significant past medical history initially presented to her primary care physician with fevers, pharyngitis, rash, malaise, and myalgias for ten days. Her rash was patchy, nonpruritic and worsened with her high spiking fevers. The rash progressed in a centrifugal pattern. She had also developed significant arthralgias in [...]

Case Presentation: A 75-year-old man with a history of glaucoma and diabetes presented to the hospital for evaluation of bilateral painful conjunctivitis, vision loss, abdominal pain and diarrhea with associated 20-pound weight loss over the previous 3-4 months. Testing for Lyme disease, syphilis, Bartonella, Varicella, HIV, and TB were all negative. Rheumatologic workup showed positive [...]

Case Presentation: The presence of abnormal liver function tests has a broad list of differential diagnoses and is commonly seen in patients with medication side-effects. Hepatotoxicity is associated with many checkpoint inhibitor immunotherapeutics and requires immediate initiation of steroids; however, it is important to consider alternate etiologies for transaminitis. We present a case of a [...]

Case Presentation: In this case, we present a 26-year-old female with a 3-week history of worsening back pain, left leg weakness, left leg numbness/tingling, and difficulty urinating, suggestive of incomplete BSS. Upon preoperative imaging, a non-enhancing intradural cystic mass at the level of T3-T4 with mass effect on the spinal cord was revealed. Laminectomy and [...]