Case Presentation: A 78-year-old dialysis-dependent man with a history of end stage renal disease, hypertension and cerebrovascular accident was evaluated for diffuse abdominal pain and altered mental status for one day. The examination was pertinent for generalized weakness and altered sensorium. Laboratory tests revealed transaminitis and leukocytosis. Computed tomography (CT) of the abdomen and pelvis […]

Case Presentation: A 55-year-old female who is G2P2 with past medical history of diabetes mellitus and who experienced menopause at 50, presented to an outside outpatient care facility with a one-month history of intermittent abdominal pain. The patient was sent home with the assumption that it was a case of left sided diverticulitis and was […]

Case Presentation: A 57-year-old African American man with a past medical history of alcohol use disorder, treatment naive chronic hepatitis C infection, and epilepsy presented with left flank pain without urinary symptoms. A non-contrast abdominal CT scan did not show renal pathology but showed compression fracture the L1 vertebra with paravertebral soft tissue and stranding. […]

Case Presentation: A 58-year-old female presented to the ED with one month of generalized worsening weakness, malaise, and diaphoresis. The patient’s medical history included severe Crohn’s disease, osteoporosis, tobacco use, and right kidney atrophy. Initial exam findings included abdominal distension, left upper quadrant tenderness, and anasarca. Labs revealed hemoglobin 8.6, hematocrit 25.0, WBC 10.7, platelet […]

Case Presentation: A 47 y/o male with history of known esophageal adenocarcinoma and end-stage renal disease on dialysis presented to the hospital with abdominal pain and melena. The patient was diagnosed with esophageal adenocarcinoma one year prior and has had gastrointestinal bleeding in the recent past. He had an upper endoscopy one month prior which […]