Case Presentation: A 33-year-old female presented to the emergency department with 2-days of fever, nausea, non-bilious/non-bloody vomiting, epigastric pain, and anorexia. This was superimposed on a one-year history of intermittent abdominal pain, bloating, nausea, bilious vomiting, and 20-pound weight loss which has been preceded by food insecurity with resulting weight loss. Her past medical, surgical, [...]

Case Presentation: A 32-year-old female with anxiety and depression presented to the ED after seizure episode. Upon admission, the patient was hemodynamically stable with normal vital signs and laboratory analysis. Physical examination revealed an unresponsive, well-nourished female with her eyes closed, jaw clenched, and arms and legs rigidly extended, consistent with a dystonic episode. She [...]

Case Presentation: A 62-year-old malnourished, Hispanic man presented with fever and malaise for 1 week associated with headache. Past medical history was significant for rheumatoid arthritis treated with prolonged, unmonitored prednisone, chronic obstructive pulmonary disease, and a history of 18 cats at home. On examination, the patient was alert and oriented, febrile, and cachectic, but [...]

Case Presentation: 68 y.o. male presented with a purpuric rash, petechia, and suspected vasculitis. Past medical history included Hypertension, Non-Alcoholic Fatty Liver disease, Obstructive Sleep Apnea, Depression/Anxiety, DM type II and obesity. Significant presentations included pruritic rash and petechiae that started about a month before the presentation, worsening dyspnea, intermittent hemoptysis, and worsening bilateral pedal [...]

Case Presentation: A 77-year-old female with a history of hypertension and stage IV uterine carcinosarcoma treated with resection, peritoneal debulking, and chemotherapy, presented to the hospital with chest pain and shortness of breath. Her workup revealed new anemia and pulmonary metastatic disease. She underwent an esophagogastroduodenoscopy and colonoscopy for her anemia workup which showed no [...]

Case Presentation: 70 year old male veteran with Lung Adenocarcinoma, Chronic Obstructive Pulmonary Disease, and remote Mucosa Associated Lymphoid Tissue Lymphoma presents with nausea, diaphoresis, and shortness of breath following administration of intravenous Iodinated Contrast Media (ICM) obtained for a staging Computerized Tomography (CT) scan. The patient was afebrile, with sinus tachycardia at 120 beats [...]

Case Presentation: A 77-year-old male with a past medical history of Parkinson’s disease, neurogenic bladder, and 2 episodes of partial colonic obstruction in the last 6 months presented with abdominal pain. Abdominal pain was intermittent, mild to moderate intensity, localized in the left lower quadrant, and his last bowel movement was 6 days ago. The [...]

Case Presentation: A 74-year-old female presented to the ED with two days of shortness of breath and fatigue. She reported a past medical history of heart failure with reduced ejection fraction, chronic kidney disease, and essential hypertension. Medications included Lisinopril, Amlodipine, Furosemide, Atorvastatin, Aspirin, Famotidine, and Warfarin. She denied tobacco, alcohol, and illicit drug use. [...]

Case Presentation: A 30-year-old G1P1 woman with a history of seasonal allergies, depression, and remote intravenous heroin use presented with progressively worsening bilateral hand swelling over the past three years since giving birth. She described painless bilateral hand swelling with nail thinning, skin bruising, decreased finger dexterity, and intermittent leakage of fluid. She did not [...]

Case Presentation: 46 yo man with chronic pain due to T8-T10 compression fractures from renal osteodystrophy related to tertiary hyperparathyroidism in the setting of end-stage renal disease from sickle cell nephropathy had recurrent prolonged admissions due to uncontrolled pain to the point where the patient was unable to perform his activities of daily living. Traditional [...]