Case Presentation: A 71-year-old woman with a past medical history of hypertension presented for right sided flank pain and post-menopausal bleeding. The initial CT abdomen and pelvis demonstrated bilateral pleural effusions, diffuse lymphadenopathy, and right sided ureteropelvic junction (UPJ) stenosis with hydronephrosis. She underwent lymph node fine needle aspiration (FNA) and then transferred to our [...]

Case Presentation: A 71-year-old Caucasian female with history of atrial fibrillation, gastroesophageal reflux disease, chronic kidney disease stage 3a was admitted for 2-week history of nausea, vomiting, and decreased urinary output. The patient had a recent admission for atrial fibrillation with rapid ventricular rate without causative etiology identified and was discharged on amiodarone and apixaban. [...]

Case Presentation: A 76-year-old woman presented to the hospital with complaints of dyspnea and bilateral lower extremity edema. She had a past medical history of chronic kidney disease (CKD) stage 4 and inflammatory bowel disease with ileostomy and reported allergy to infliximab. IV furosemide was started for acute congestive heart failure. CTA chest was done [...]

Case Presentation: A 38-year-old woman with suspected metastatic right breast cancer presented to the acute care hospital for a second opinion. The patient first noticed a breast lump one year ago and had been receiving homeopathic medical care without improvement. She was evaluated in a foreign country one week prior to admission and was advised [...]

Case Presentation: A 44-year-old man with a history of asthma presented to the emergency department with six weeks of non-bloody diarrhea and one week of abdominal distension. He described no clear trigger for these symptoms and denied associated fever, chills, melena, and dysphagia. He noted a similar episode three years prior, which self-resolved after three [...]

Case Presentation: A 68-year-old male with 6-months history of dark stools, lightheadedness, and fatigue. He was not on blood thinners. He had three ED visits, two hospitalizations and several office visits and received seven units of packed red blood cells (PRBC) during that time for iron deficiency anemia. Extensive workup with upper GI endoscopy (EGD) [...]

Case Presentation: A 42-year-old woman with a history of common variable immunodeficiency, asthma, cirrhosis presumed secondary to non-alcoholic fatty liver disease, subdural hematoma, epilepsy, and inflammatory polyarthritis presented to the ED with altered mental status (AMS). She was in her usual state of health, living independently until one month prior when she developed intermittent hallucinations, [...]

Case Presentation: A 38-year-old male with presumed seronegative rheumatoid arthritis (RA), irritable bowel syndrome with diarrhea (IBS-D), and reported Lyme disease (negative serology) presented with acute dyspnea, pleuritic chest pain, and chronic relapsing fevers. Initial treatment with broad-spectrum antibiotics failed, and he developed acute hypoxic respiratory failure, requiring transfer to the Medical Intensive Care Unit [...]

Case Presentation: A 28-year-old male with alcohol use disorder presented with 3 months of jaundice, arthralgias, and abdominal pain. His history raised concern for alcoholic hepatitis; his Maddrey’s score was 64.7. He initiated high dose steroid therapy. A calculated Lille score indicated that he would be responsive to steroids, and he was ultimately discharged on [...]

Case Presentation: A 21-year-old male with no prior medical history presented with progressive dyspnea and bilateral lower extremity edema that began four months prior. On exam, he had JVD to the mandible, positive hepatojugular reflux, a harsh grade III/VI systolic murmur at the right lower sternal border, pitting edema to the hips, and an erythematous [...]