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 [...]

Case Presentation: A 70-year-old man with a past medical history of HIV on antiretroviral therapy, chronic obstructive pulmonary disease, tobacco use disorder, and ischemic cardiomyopathy presented due to 2 weeks of headache and hemoptysis. On review of systems he noted chronic diplopia going on for the last few months. The initial examination did not note [...]

Case Presentation: 46-year-old female patient with a past medical history of ESRD on hemodialysis, DVT on chronic anticoagulation with apixaban, chronic HFrEF and history of injectable drug use (fentanyl) who presented with a chief complaints of progressive headache followed by rapidly progressive confusion requiring intubation for airway protection. Diagnostic lumbar puncture was considered however deferred [...]