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 36-year-old male with no significant past medical history presented with bilateral facial swelling at the behest of his wife. Discharged home. Two weeks later he presented for follow up with continued swelling and new onset fevers, night sweats, a 12-pound unintentional weight loss, and dyspnea on exertion, specifically reporting difficulty ascending one […]

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 […]

Case Presentation: A 59 year old woman with presumed systemic lupus erythematosus (SLE) was admitted to hospital medicine for severe pancytopenia (WBC 1.3 x109/L, hemoglobin 9.2g/dL, platelet 14×109/L). She had an extensive diagnostic work-up with rheumatology and hematology without a definitive diagnosis; rheumatology questioned her prior SLE diagnosis. Imaging showed diffuse lymphadenopathy and splenomegaly. Three […]