Case Presentation: A 28-year-old female with a history of recurrent deep venous thrombosis (DVT) on lifelong Xarelto, type 1 diabetes and iron deficiency anemia who presented with a recurrent acute DVT of the right lower extremity. During her hospitalization, she gave a history of intermittent left facial and right finger twitching that was self-resolving. These [...]

Case Presentation: A 40-year-old man with well controlled HIV and mild left-sided ulcerative colitis (UC) diagnosed 10 years earlier presented with several weeks of up to 10 watery stools per day with mild non-radiating crampy abdominal pain which improved after bowel movements. There was no hematochezia, tenesmus, weight loss, recent travel or sick contacts. His [...]

Case Presentation: A 55 yo male with past medical history significant for metastatic renal cell carcinoma with no clinical evidence of residual disease on maintenance pembrolizumab, alcohol abuse, hypertension, and chronic obstructive pulmonary disease, presented after a fall with unknown loss of consciousness and head trauma. His condition progressed to acute encephalopathy with sepsis, multiorgan [...]

Case Presentation: A 36-year-old male with a renal transplant (CMV serostatus: donor positive/recipient negative) presented to an outside hospital with fever and acute hypoxic respiratory failure requiring high flow oxygen. His maintenance immunosuppressants included cyclosporine and mycophenolate. Upon admission, he was started on treatment for community acquired pneumonia and severe COVID-19 pneumonia. Due to lack [...]

Case Presentation: A 57-year-old African American woman with a past medical history of hypertension, type 2 diabetes mellitus, and pulmonary sarcoidosis underwent an MRI of the brain for evaluation of headaches. An incidental finding of a four-millimeter right-sided bilobed anterior communicating artery (AcoA) aneurysm was noted. The patient was then referred to Neurosurgery for elective [...]

Case Presentation: A 49-year-old woman with a history of D-transposition of the great arteries s/p Mustard procedure, protein losing enteropathy, CVID on IVIG, and chronic anasarca on diuretics presented with redness, swelling, and pain in her left foot. Two weeks prior to admission she fell on a stick and suffered a left shin puncture wound. [...]

Case Presentation: A 58-year-old male with medical history of resected melanoma presented to our hospital with fatigue and exertional dyspnea of 1-week duration. He was found to have complete heart block and a large pericardial effusion. A dual chamber pacemaker was implanted, and pericardial drain was placed. The pericardial fluid was negative for malignancy and [...]

Case Presentation: A 40-year-old female with morbid obesity, methamphetamine dependence, and tobacco use disorder presented with the one-day onset of diffuse and severe abdominal pain. A review of the systems was positive for nausea, vomiting, inability to tolerate food by mouth, constipation, and diaphoresis but she denied fever, diarrhea, or other related symptoms. Patient-reported using [...]

Case Presentation: A 65-year-old male with a past medical history of bladder cancer, chronic kidney disease stage 3, colon cancer s/p colectomy with colostomy 2016, chronic hypotension on midodrine who presented initially with three days onset of inability to tolerate oral intake due to nausea, vomiting, and increased colostomy output. Other positive findings on the [...]

Case Presentation: A 64-year-old male with a medical history of left-occipital stroke and alcohol use disorder presented with progressively worsening dizziness & weakness of his extremities ongoing for six months. The complaints were associated with numbness of fingertips and toes with gait instability resulting in repeated falls. He correlated the symptoms with starting baclofen (taking [...]