Case Presentation: We present a 26-year-old female with history of endometriosis and recurrent tubo-ovarian abscess (TOA). She was admitted for a TOA in 2021, and her course was complicated by a right sided spontaneous pneumothorax. On review, she had experienced two prior episodes of right-sided pneumothorax in 2017 and 2020.The first episode resolved spontaneously; while [...]

Case Presentation: A 22-year-old previously healthy man presented to the emergency department with sudden onset left flank pain that began shortly after shoveling his driveway and radiated to his groin. He noted mild dyspnea while shoveling but otherwise denied urinary or constitutional symptoms. His physical exam was notable for fever with a temperature of 38.2C, [...]

Case Presentation: A 54-year-old man presented with resolving epigastric pain. Initial labs revealed platelets at 21K/uL. He had no symptoms, signs of bleeding, history of easy bruising or hematologic disease. Further labs showed LDH 690U/L, haptoglobin < 30mg/dL, and bilirubin 2.8mg/dL (indirect 2.2), consistent with intravascular hemolysis. Hgb was 13.4g/dL with MCV 83fL and reticulocyte [...]

Case Presentation: We report a case of a 21-year-old woman presenting with repeated urinary tract infections, urinary incontinence, and hypertension over the course of 3 years. She denied other symptoms. She reported an uneventful C-section delivery, 3 years earlier also, of her first and only pregnancy, that coincidentally was followed by the onset of the [...]

Case Presentation: A 73 year old man with a past medical history notable for type 2 diabetes and hypothyroidism presented with ten days of dark urine and jaundice. He had developed worsening jaundice, pruritus, and a five pound weight loss prior to presentation. Labs showed alkaline phosphatase 731, ALT 369, AST 174, total bilirubin 5.64 [...]

Case Presentation: Planning a safe discharge from the hospital is a collaboration that includes the care team and the patient. At our VA hospital, a geriatric 4M’s (Mobility, Medications, Mentation, What Matters Most) assessment helps to determine “What Matters Most” to older Veterans as well as to connect them with the right community services (such [...]

Case Presentation: Ectopic Liver is generally observed intra-abdominally, its extension supra-diaphragmatically is a rare occurrence. There are only 23 such reported cases in literature with the majority being reported in younger age groups as an extension of the caudate lobe of the liver through a diaphragmatic hernia(1,2). However, the presentation of an ectopic liver as [...]

Case Presentation: A 59-year-old previously healthy female presented to the emergency department with progressive cognitive decline, psychomotor retardation, and both auditory and visual hallucinations of subacute onset for which she was previously admitted to inpatient care at two separate hospitals. Extensive testing during these admissions were negative for: infection, metabolic derangement, hematologic malignancy, toxins, heavy [...]

Case Presentation: A 60-year-old male with a history of right hepatic resection for donation in 2011 presented to theEmergency Department for acute onset of chills, malaise, and fever up to 101.3 at home withassociated vomiting, abdominal pain, and abdominal distention. He was found to have fluidrefractory hypotension, elevated lactate, and a stage II AKI with [...]

Case Presentation: An 89-year-old female patient with a medical history of atrial fibrillation, TIA, and colon cancer stage IV for which she started Capecitabine three days before her presentation. She presented to the emergency department with intermittent chest pain that started the next day of starting Capecitabine. She was afebrile; her respiratory rate was 18, [...]