Case Presentation: 73 year-old-woman with a past medical history of previous cholecystectomy presented with a one-day history of right upper quadrant pain, nausea, and vomiting. The patient denied taking any herbal supplements or any new medications. Physical exam was significant for right upper quadrant tenderness, without rebound or guarding. On admission, labs were significant for: […]

Case Presentation: 31-year-old man presented with two-weeks of shortness of breath to a New York City hospital in late-April 2020. Patient reported subjective fevers/chills and myalgias two weeks prior to presentation, eventually progressing to shortness of breath and a dry, non-productive cough. In the emergency department, he was noted to be in respiratory distress, saturating […]

Case Presentation: A 17-year-old male presented to clinic with a pruritic and brown macular rash that was first noticed after ingesting food at a buffet a few months prior to his office visit. The rash began on his upper extremities and spread to his trunk, lower extremities, and head. He has a history of cutaneous […]

Case Presentation: Pyroglutamic acid (5-oxoproline) is a rare cause of metabolic acidosis most often associated with sub-acute or chronic acetaminophen intake in the presence of unique risk factors. Discussion: A 25-year old female with Crohn’s disease presented with one month of worsening abdominal pain, diarrhea, and anorexia with reported 20 kg weight loss. She developed […]

Case Presentation: A 52-year-old Hispanic man with a medical history of hypertension, T2D with neuropathy, and hyperlipidemia without previous exposure to glucocorticoid presented to the emergency department (ED) with mild fever, headache, and shortness lasting three days. His diabetes had been well controlled with glipizide, metformin, and liraglutide, and his recent glycated hemoglobin was 7.2% […]

Case Presentation: A 56-year-old woman presented with dyspnea; cyanosis and paresthesia of her lips, fingers, and hands; and headache. She had known cavitary pulmonary lesions, discovered incidentally on a CT scan obtained for assessment of nephrolithiasis. Extensive evaluation had yielded no evidence of infection or malignancy. An autoimmune etiology was suspected, and prednisone had been […]

Case Presentation: 42-year-old male with HIV on ART presented in May with six days of fevers, non-bloody diarrhea, headache, and neck pain. He reported dyspnea and dry cough with potential exposure to COVID-19 as he had recently attended local protests. He reported new sexual partners and recently found ticks on himself.He was febrile and tachycardic. […]

Case Presentation: A 59-year-old male with a past medical history remarkable for obesity, asthma, and anxiety sought medical attention for the chief complaint of dyspnea for approximately 10 days. Computed tomography with angiogram of the thorax on admission was negative for any pulmonary emboli, but did demonstrate central and peripheral ground glass opacities throughout both […]

Case Presentation: A 74 year old male with a history of atrial fibrillation on rivaroxaban was admitted to an outside hospital with a spontaneous right gluteus medius and piriformis intramuscular hematoma measuring 5.8 cm found on computerized tomography (CT). On admission, he had a hemoglobin of 7.7 gm/dL, an elevated activated partial thromboplastin time not […]

Case Presentation: A 44-year-old African American female with a medical history of chronic heart failure with preserved ejection fraction (HFpEF) presented with a six month history of multiple hospitalizations for acute decompensated HFpEF and right upper quadrant pain. One month ago, she presented with an acute elevation of alkaline phosphatase (ALP) to greater than four […]