Case Presentation: A 61-year-old female with a history of non-alcoholic steatohepatitis (NASH) cirrhosis complicated by hepatocellular carcinoma (HCC), who underwent a liver transplant 2 months prior, presented to an outpatient clinic complaining of several days of fatigue, headache, nausea, vomiting, abdominal pain and confusion. Her headaches were new since the transplant. She denied any fevers, [...]

Case Presentation: A 57-year-old incarcerated male with end stage renal disease (ESRD) on hemodialysis, coronary artery disease (CAD), and Gastroesophageal reflux disease (GERD) presented to the emergency department with several episodes of hematemesis, shortness of breath and fatigue for the past 2 days without any associated abdominal pain, dysphagia, or odynophagia. On exam, he was [...]

Case Presentation: A 22-year-old male with a history of substance abuse presented with a non-healing wound to the right lateral ankle. The wound began as a blister several months prior and had been worsening. Review of systems was negative for fever, chills, cough, fatigue, malaise.Physical examination was significant for a 5 cm annular hyperpigmented fungating [...]

Case Presentation: We present an unusual case of a previously healthy patient presenting with a demyelinating polyneuropathy, which was determined to be the initial presentation of systemic lupus erythematosus (SLE).This was a 36 year-old female with an unremarkable past medical history who presented with leg weakness that progressively spread to her arms with associated tingling [...]

Case Presentation: : A 50-year-old African-American woman with history of hypothyroidism presented to the hospital with one week of sharp right orbital headaches, numbness, and itching. Associated symptoms included numbness from the eye to the mouth, pruritus, and dysphagia. Physical exam was remarkable for diminished pin prick and temperature sensation in the V1-V3 distribution on [...]

Case Presentation: An 80-year-old man presented with progressive worsening of altered mental status after a fall and right knee trauma. Four days prior he developed subjective fevers, chills and inability to walk after the fall. Past medical history was significant for diverticulitis complicated by diverticular abscess six months prior to admission. He was homebound, no [...]

Case Presentation: A 60-year-old man with no history of diabetes presented with right sided facial swelling and was found to have HbA1c of 14%. He was treated for sinusitis with augmentin and discharged with close follow-up for new-onset diabetes mellitus type 2. A few days later, he developed new left eye blindness necessitating readmission. On [...]

Case Presentation: A 41-year-old Hispanic woman with a past medical history of intractable trigeminal neuralgia and recurrent admissions for associated facial and airway swelling requiring intubation presented with acute onset of severe facial and tongue swelling, dyspnea, and neuropathic facial pain, similar to prior flare-up episodes. A pruritic rash on the chest and bilateral hand [...]

Case Presentation: A 70-year-old woman with history of hypertension, asthma, and vertigo presented with acute onset of confusion and slowed speech in the setting of worsening headache, neck stiffness and paralysis of bilateral lower extremities for three days. Her headache was described as bitemporal with burning sensation, worsened by bright light and neck movement, similar [...]

Case Presentation: Autoimmune Polyglandular Syndrome Type 2 is a rare syndrome, with a prevalence of 1.4 to 4.5 per 100,000, distinguished by an association between autoimmune thyroid disease, Addison’s disease, and/or Type 1 diabetes mellitus (Wang, 2016). It can be particularly challenging to diagnose, especially in a situation where the endocrinopathies develop simultaneously leading to [...]