Case Presentation: A 68-year-old male patient with past history of acute pancreatitis, portal vein thrombosis, left lower extremity deep vein thrombosis presented to the hospital with epigastric abdominal pain. His white cell counts were 29,000/ cu.mm and his serum lipase levels was 35,000 U/L. Computed tomography imaging revealed acute necrotizing pancreatitis complicated by pseudocyst formation. [...]

Case Presentation: A previously healthy 54-year-old African American woman with a history of chronic constipation and tobacco use disorder presented to the emergency department with a 3-day history of intermittent left lower quadrant (LLQ) cramping abdominal pain which radiated to her back and an associated 5-day history of fatigue. She had no prior colonoscopy. On [...]

Case Presentation: A 44-year man with history notable for illicit drug use (amphetamine, cocaine), poorly controlled HIV (CD4 count 387, HIV quantitative PCR with a viral load of 188,000) and anaphylaxis with penicillin use presented with a 1-day history of sore throat along with a 1-month history of a warm, diffuse, symmetric, non-pruritic, non-vesicular, maculopapular [...]

Case Presentation: A 31-year-old female gravida 2 para 2 with past medical history notable for iron-deficiency anemia presented to the hospital with complaints of fever, lower extremity rash, and multiple breast masses. The patient described having bilateral breast firmness and tenderness for 3 weeks, which was being worked up as an outpatient. The patient had [...]

Case Presentation: An 89 year old female with a recent admission for left knee atraumatic hemarthrosis a week ago, presented with arm pain to the emergency department. She had bilateral forearm and hand pain, swelling, and paresthesias that had started after getting blood draws at her last hospital stay and had slowly worsened.On physical exam, [...]

Case Presentation: A 24-year-old female with past medical history significant for sickle cell trait presented 2 weeks status post cesarean section with 3 days of progressive left leg pain and swelling in her left lower extremity. She is a mother of 4, a nonsmoker, and denies history of venous thromboembolism and family history of hypercoagulability. [...]

Case Presentation: A 52-year-old destitute G6P6006 woman with an advanced stage Inflammatory breast cancer (IBC) presented to the OB/GYN for four-month right breast pain and one-month skin changes. The examination was notable for a diffusely dense and hard to left palpation breast, peau d’orange, medial scarring similar to boils without drainage, absent nipple discharge, and [...]

Case Presentation: A 56-year-old man with a past medical history of hypertension, hyperlipidemia, polysubstance abuse, and perforated appendicitis presented to the emergency department for one-week right lower quadrant abdominal pain. Of note, two-years prior, the patient had one-day of similar pain associated with nausea and emesis. A computed tomography (CT) scan of the abdomen and [...]

Case Presentation: 66-year-old man with recent diagnosis of heart failure with preserved ejection fraction, atrial fibrillation, and chronic kidney disease presented with worsening shortness of breath. On presentation, he had crackles in the left lower lobe, 1+ pitting edema, and macroglossia. BNP 17,371and creatinine 2.88 (baseline of 2.4). Chest x-ray: mild pulmonary vascular congestion, trace [...]

Case Presentation: A 77 year old male with history of diabetes mellitus, systolic heart failure and morbid obesity who presented with multiple episodes of falls occurring over a 2 week period. The patient reported bilateral weakness and pain in the lower extremities, in addition to sensation of paresthesias and numbness. He reported a progressive loss [...]