Case Presentation: A 56-year-old male with type II diabetes presented to the hospital with 3 weeks of oral ulcers involving the left buccal region with spread to the palate and tongue. He also reported odynophagia, poor oral intake, and 40-lb weight loss. He had not responded to outpatient amoxicillin, fluconazole, and nystatin swish and swallow. [...]

Background: Helicobacter pylori (H. pylori) infection is a common cause of gastroduodenal ulcers (GDU), and current guidelines recommend evaluation and eradication of H. pylori to promote healing of GDU and prevention of H. pylori-associated diseases. This quality improvement projects aimed to quantify and improve the rate of H. pylori testing and eradication after endoscopic diagnosis [...]

Case Presentation: A 47-year-old male with a history of untreated ulcerative colitis (UC) presented to the emergency department with a two-week history of jaundice, malaise, fatigue, right upper quadrant pain, and tan-colored stools. Vital signs were normal. Physical exam was remarkable for epigastric tenderness, sclera icterus and jaundice. Relevant laboratory findings revealed total bilirubin of [...]

Case Presentation: A 57-year-old female with a history of heart failure with reduced ejection faction, COPD, and a right renal mass presented to the emergency department with a 3-month history of lower leg ulcers. The patient noticed purple discoloration of the lower extremities 2 weeks after receiving the second dose of the Moderna COVID-19 vaccine [...]

Case Presentation: Anti-melanoma differentiation-associated gene 5 dermatomyositis (MDA5-DM) is a subset of amyopathic dermatomyositis that may present with oral ulcerations, painful palmar papules, arthritis, and panniculitis.1 Unique characteristics of MDA5-DM versus other types of dermatomyositis include a higher incidence of interstitial lung disease (ILD), lower incidence of myositis, and a higher rate of morality. MDA5-DM [...]

Case Presentation: 39-year-old female with a history of ulcerative colitis (UC), but not on therapy, presented with abdominal pain and hematochezia for two weeks, along with weight loss and night sweats. On admission, vital signs were notable for tachycardia and physical examination revealed a diffusely tender abdomen. Laboratory studies were remarkable for leukocytosis of 23,250/mm3. [...]