Case Presentation: A 55 year old male presented with a 1-week history of severe fatigue, constipation, and diffuse abdominal pain. He reported 1 year of progressive diffuse joint pains, numbness and tingling of bilateral upper and lower extremities, and global muscle weakness recently necessitating use of a wheelchair. He had no past medical history, and [...]

Case Presentation: A 40-year-old woman with no prior past medical history presented to the emergency room with several weeks of dysphagia, rash on her face, hands, chest, accompanied by fatigue, malaise, followed by progressively worsening shortness of breath. Over 8 weeks, she also developed a rash over her dorsal hands and upper chest wall, associated [...]

Case Presentation: A 47-year-old man with a history of metastatic colon cancer status post resection and rheumatoid arthritis presented to the emergency department with 4 days of fever, shortness of breath, fatigue and myalgias. He described fevers in a periodic pattern with spikes occurring about 3 times per day. He was found to be tachycardic [...]

Case Presentation: A 23-year-old female with a history of epilepsy presented to the emergency department (ED) for five days of tachycardia, oral ulcerations, and worsening palmar rash. She had presented to the ED three days prior with oral ulcers and dysphagia and was diagnosed with hand, foot, and mouth disease. On representation, her ulcers had [...]

Case Presentation: We present a case of hereditary pancreatitis in the setting of SPINK1 gene mutation (c.101A>G; p.Asn34Ser) with symptom onset at age sixty-six. The patient had no history of alcohol use and remote history of cholecystectomy, however, did have a strong first-degree family history in her brother and sister, who also began to experience [...]

Case Presentation: An 82-year-old female presented to the emergency department with a hemoglobin of 5.2 g/dL and complaints of nausea, fatigue, and progressive weakness over the past 2 months. She denied any episode of overt bleeding; no hemoptysis, hematochezia, hematuria, or bloody vaginal discharge. She also denied trauma or any recent falls. The patient’s physical [...]

Case Presentation: A male in his 70s with a history of paroxysmal atrial fibrillation presented to the hospital for evaluation of shortness of breath, dysgeusia, and subjective fever. His home medications were aspirin, atorvastatin, pantoprazole, apixaban, and tramadol. Physical exam on admission revealed bilaterally diminished breath sounds in addition to being tachypneic and hypoxic. His [...]

Case Presentation: A 60-year-old female with a history of diabetes and a recent diagnosis of COVID-19 four weeks ago presented to the hospital with a persistent cough, fatigue, and poor appetite. She had been discharged two weeks prior for chest pain and shortness of breath, felt to be secondary to COVID-19 induced myopericarditis. She was [...]

Case Presentation: A 41-year old female was hospitalized for management of SIADH causing refractory hyponatremia. Her medical history was notable for generalized anxiety disorder and cosmetic silicone bilateral breast implant. She was up to date on age appropriate cancer screening, and was not taking any prescription medications or supplements. The patient had been in usual [...]

Case Presentation: A 36-year old male with a past medical history of polysubstance abuse presented to the emergency department for evaluation of gradual weakness. Associated symptoms included anorexia, intermittent melena, and unintentional weight loss for the past eight weeks. On exam, he was cachectic, had pale conjunctiva, tachycardic, and had a soft, non-tender abdomen. Labs [...]