Case Presentation: A 78-year-old man with heart failure, chronic kidney disease, and hereditary spastic paralysis was hospitalized with hyperkalemia to 7.7 mmol/L. He was admitted a month prior with heart failure and discharged on lisinopril with a new prescription for spironolactone. The patient had decreased appetite, limited oral intake, mild nausea, and no vomiting with [...]

Case Presentation: This is a case of a 37-year-old female with a 9 month history of moderate ulcerative pancolitis (UC) who was admitted with worsening abdominal pain, a 30 lb weight loss, nausea, vomiting, and bloody diarrhea. She had been treated with mesalamine, vedolizumab, and infliximab with no improvement and refused corticosteroid therapy due to [...]

Case Presentation: Case 129-year-old male previously healthy without significant medical history had transient right-sided weakness and blurry vision for one day. Head CT scan was normal. CT angiogram (CTA) of head and neck did not reveal arterial lesion. MRI of brain revealed small acute ischemic changes in the left posterior frontal lobe. No Hypercoagulable state [...]

Case Presentation: A 34-year-old woman with history of celiac disease presented with diffuse abdominal pain for 3 days. She also experienced nausea and decrease appetite. There was nonspecific abdominal tenderness upon examination. Lab showed abnormal liver function test: alkaline phosphatase (561 U/L), GGT (632 U/L), ALT (149 U/L), AST (91 U/L), bilirubin (0.5 mg/dL). Abdominal [...]

Case Presentation: This is an 81 years old man presented with unintentional weight loss of 30 pounds in a year. He had history of diabetes type II and 20-pack-year smoking history. Extensive workup at the primary care clinic was unremarkable. CT of chest, abdomen and pelvis identified multiple lung mass, lymphadenopathy and an ill-defined pancreatic [...]

Case Presentation: This is an 84-year old Caucasian man with a past medical history of hypercholesterinemia who developed dry cough, mild shortness of breath, generalized weakness, and fever 13 days prior to the presentation. Three days after onset, he was tested positive for SARS-CoV-2 virus. His shortness of breath continued to worsen, and the patient [...]

Case Presentation: A 68-year-old man with hypertension and osteoarthritis presented with fever, cough, dyspnea, and weight loss for 2 months. Prior to admission, he had received antibiotics for community-acquired pneumonia without improvement. Physical exam showed multiple ulcers at the base and sides of tongue, bilateral palmar erythematous papules with ulceration and scaling, bilateral erythematous plaques [...]

Case Presentation: A 78 year old man with recurrent metastatic adenosquamous lung carcinoma (recently initiated pembrolizumab), CAD s/p CABG, HTN, DM2, and HLD, presented with 2 weeks of fatigue, myalgias, anorexia, and weakness acutely worsening in the prior 2 days. He had no fever, chills, chest pain, dyspnea, orthopnea, palpitations, or lower extremity edema. ED [...]

Case Presentation: Immunotherapy is an emerging therapeutic option in the field of oncology. Dermatological toxicities are the most prevalent immune-related adverse events associated with immunotherapy. Herein, we report a case of a 60-year-old male who developed localized bullous pemphigoid after nearly a year of treatment with a PD-1 inhibitor, nivolumab, for metastatic renal cell carcinoma. [...]

Case Presentation: A 52-year-old male with a history of type 2 diabetes mellitus, peripheral neuropathy, hypertension, hyperlipidemia, sleep apnea, and osteomyelitis of the right great toe presented to the hospital with a 3-day history of fever and chills. Of note, patient had been admitted 3 weeks prior with a complaint of a right foot ulcer, [...]