Case Presentation: A 47 y/o male with history of known esophageal adenocarcinoma and end-stage renal disease on dialysis presented to the hospital with abdominal pain and melena. The patient was diagnosed with esophageal adenocarcinoma one year prior and has had gastrointestinal bleeding in the recent past. He had an upper endoscopy one month prior which […]

Case Presentation: A 71-year-old male with a medical history of type 2 diabetes and hypothyroidism presented with six months duration of intermittent pain, swelling, numbness and tingling of his hands. He was previously diagnosed with carpal tunnel syndrome and had carpal tunnel release of his left wrist five months prior to presentation; however, the swelling […]

Case Presentation: 70-year-old female with past medical history of vascular dementia, recent COVID infection (three weeks before) was brought from nursing home for altered mental status, one episode of vomiting and hypoxia as per the records. On arrival she was hypotensive to 71/43 mm Hg requiring norepinephrine, heart rate 118 beat/minute, saturating 94% on 2L, […]

Case Presentation: A 73 year old female with a 50 pack year smoking history was admitted with 2 months of dysphonia, oral pain, odynophagia, and a 30 pound weight loss. Exam revealed a large ulcerative lesion of the tongue and white plaques on the tongue and oral mucosa. CRP was 5.74 mg/dL and ESR was […]

Case Presentation: A 73 year old female with previous history of IgG lambda multiple myeloma presented to the emergency room with three weeks of gradually worsening shortness of breath, fatigue, and loss of appetite. Her multiple myeloma was diagnosed 2.5 years ago and she had since undergone several rounds of radiation and chemotherapy. Upon arrival […]

Case Presentation: A 36-year-old woman with past medical history of depression and sickle cell trait presented to the hospital with two days of fevers and chills. She was treated for streptococcus A pharyngitis with clindamycin one month prior to presentation, but at this time had no other symptoms. On presentation, her exam was notable for […]

Case Presentation: 78yo male on chronic anticoagulation (warfarin) for pmh significant of three previous venous thrombosis (DVT), hypertension, diabetes, and hypercholesterolemia presented with one week of progressive right lower extremity erythema, edema, pain and tmax of 99F. On physical exam, he had tense, non-pitting edema and erythema from 10cm distal to the right knee to […]

Case Presentation: 46-year-old lady with past medical history of polysubstance abuse, seizures, HIV on treatment, mood disorder on quetiapine/valproic acid was brought to hospital by a family member for drowsiness. They reported that she has been drowsy since one week and had history of recent heroin use. Patient intermittently awake could give history of her […]

Case Presentation: A 28-year-old female with a past medical history of anxiety and depression presented to the emergency room with complaints of severe right-sided chest pain. She underwent acupuncture, where needles were placed on the supra clavicular area of the chest, and presented with right-sided chest pain the next day. The chest pain radiated to […]

Case Presentation: A middle-aged man with a history of heart failure and atrial fibrillation presented to the hospital with subacutely worsening dyspnea. He had hypoxemia, crackles on pulmonary auscultation, and diffuse airspace opacities on chest radiograph. Admission was requested for presumed exacerbation of heart failure. Upon closer examination, he no edema or elevated jugular venous […]