Case Presentation: Our patient is a 66-year-old female who was admitted for shortness of breath and generalized weakness. She was severely anemic with hemoglobin of 6.5. Her EGD did not show any obvious evidence of bleeding. Colonoscopy in the past showed a large inflammatory mass consistent with ischemic colitis. Follow-up colonoscopy showed completely healed mucosa. [...]

Case Presentation: A 45-year old male was escorted to our tertiary medical center from a prison for evaluation of 40 lb weight loss, paraplegia and recently developed urinary and fecal incontinence. The patient had been on a 7-month long hunger-strike, during which he only consumed one meal per day. In addition to incontinence, he reported [...]

Case Presentation: A 37-year-old male with anxiety presented to the ED in Maine after a week of warmth and irritability, followed by sudden onset nausea and vomiting, epigastric and chest pain with left shoulder radiation, and palpitations. He denied COVID exposures, loss of taste or smell, shortness of breath, dysphagia, changes in weight, or skin [...]

Case Presentation: An otherwise healthy 21 year old woman presented to an outside hospital with developing headache, confusion, twitching, nausea and vomiting. Workup included an unremarkable head CT with LP consistent with aseptic meningitis. Viral meningoencephalitis was suspected, she improved and was discharged. She had recurrence of intermittent frontal headaches with associated dizziness, bilateral lower [...]

Case Presentation: A 59 year-old female with past medical history significant for chronic hyponatremia and tobacco use presented to the hospital with complaints of dyspnea and neck pain for 2 weeks. She reported blurry vision and swelling in her neck, face and axillae. Initial vitals were stable. Admission labs were significant for sodium 125, baseline [...]

Case Presentation: A 46-year-old previously healthy female, presented to the hospital for left leg pain and swelling. She was febrile and tachycardic. Examination showed abdominal distension with a palpable firm, nontender lower abdominal mass, left lower extremity tenderness, nonpitting edema extending to upper thigh, mottled skin, and diminished pulses. Doppler showed totally occluded DVT of [...]

Case Presentation: An 83 year-old female with history of hypertension presented to the emergency department with altered mental status for the past 2 days. Family reported patient to have a low impact fall, 2 weeks prior. In route, patient was noted to be febrile at 101.7˚F. Upon arrival, vitals were stable. Patient was found to [...]

Case Presentation: A 77-year-old woman with a significant health history including metabolic syndrome, chronic obstructive pulmonary disease, ischemic cardiomyopathy, stage III chronic kidney disease and a recently diagnosed SARS-CoV-2 infection. She presented with sepsis and cardiorenal syndrome. On arrival, she was in acute respiratory distress with severe metabolic and respiratory acidosis, and in oliguric state, [...]

Case Presentation: A 73-year-old man who had been under quarantine for a week prior to presumed COVID-19 presented to the emergency department (ED) with worsening malaise, fever, and loss of appetite. Two weeks prior, the patient presented to his primary care provider (PCP) with fevers, dry cough, exertional dyspnea, sweats, malaise, anorexia, anosmia, and dysgeusia. [...]

Case Presentation: A 64-year-old male with a history of prior intracerebral hemorrhage and bipolar disorder was transferred from a local hospital for 6 weeks of altered mental status with visual hallucinations. On presentation, his vitals were notable for systolic blood pressure greater than 200 mmHg. The patient had no focal neurological deficits but endorsed visual [...]