Case Presentation: An 80-year-old gentleman with a past medical history of type 2 diabetes mellitus and stage III chronic kidney disease (baseline creatinine 1.2-1.4 mg/dL) presented to the emergency department with generalized weakness, falls, unintentional weight loss, and constipation. Labs were significant for hypercalcemia (13.2 mg/dL), elevated creatinine (1.96 mg/dL), suppressed intact PTH (10 pg/mL), [...]

Case Presentation: A 29 year-old man presented with 3 weeks of paresthesias, fatigue, and weight loss. The patient also reported nausea, constipation, urinary urgency, and erectile dysfunction. Physical examination demonstrated decreased temperature perception and sharp-dull discrimination in the bilateral distal lower extremities. Laboratory studies revealed elevated ESR (57 mm/hour), elevated CRP (2.0 mg/dL), and decreased [...]

Case Presentation: A 27-year-old Hispanic man with a history of hyperlipidemia and smoking (marijuana and tobacco) was initially seen by Urology for a right palpable testicular mass that enlarged over the past 2 months prior to presentation. Our patient denied a history of familial testicular cancer and a history of undescended testes. He reported no [...]

Case Presentation: A 56-year-old previously healthy Caucasian woman was evaluated by a neurologist for seizure-like activity and syncope. She was placed on a Holter monitor that showed episodes of paroxysmal supraventricular tachycardia, ventricular tachycardia (VT), and third-degree AV block. She presented to the emergency department with chest pain, a new left bundle branch block, and [...]

Case Presentation: A 63-year-old Caucasian female with a medical history of type 2 DM, HTN, and cholecystectomy presented with a 3-days history of abdominal pain, nausea, and vomiting. She has no history of alcohol intake and has a pertinent family history of colon cancer. Physical exam and vital signs were normal except for epigastric tenderness.Labs [...]