Case Presentation: A 31-year-old man with past medical history of secondary syphilis and HIV/AIDS (CD4 47) intermittently on ART presented with worsening rectal pain and recurrent rectal abscesses. He endorsed rectal pruritis, nausea, weight loss, and lower extremity pain. He denied fevers, night sweats, abdominal pain, or diarrhea. Last year, he had a prior rectal [...]

Background: Adequate documentation of patient diagnoses is essential for hospitals to capture the extent of services provided, to submit bills, and ultimately receive payment. These diagnoses are used to calculate hospital performance as part of the Hospital Readmission Reduction Program. Diagnoses taken from medical record documentation are also used to place patients in diagnosis-related groups [...]

Background: Clinically, cough is classified by the duration which has implications for diagnosis and subsequent treatment. For example, chronic coughs lasting more than eight weeks, such as those related to allergies or gastroesophageal reflux disease, will have very different implications than acute coughs that less three weeks, such as those caused by the common cold. [...]

Case Presentation: A 67 year-old woman presented with six weeks of worsening disorientation. Her husband reported severe insomnia, abnormal behaviors, decreased short-term memory, and very labile mood. She had a history of well-controlled bipolar disorder on chronic lithium therapy. She had a forty pack-year smoking history. She was diagnosed with a urinary tract infection and [...]

Case Presentation: An 84-year-old Caucasian male with a history of hyperlipidemia presented to his primary care provider with a 6-week history of an erythematous rash with associated proximal limb weakness but without complaint of breathing or swallowing difficulties. Statin-induced rash with myopathy were suspected so his statin was stopped, and he was referred for skin [...]

Case Presentation: 72-year-old male with a history of prostate cancer status post prostatectomy, recent diagnosis of pansinusitis and multiple bilateral pulmonary lesions and a mass-like consolidation of the left upper lobe presented complaining of dyspnea. He was receiving treatment for sinusitis and pneumonia with plans for outpatient bronchoscopy to rule out malignancy. On presentation, the [...]

Case Presentation: A 44-year-old man with history of uncontrolled diabetes mellitus, gastroparesis, chronic malnutrition, and cognitive impairment presented to the emergency room with two weeks of nausea, vomiting, and inability to tolerate oral intake. Given chronic malnutrition and inability to control symptoms with anti-emetics, enteral access was obtained and both tube feeds and motility agents [...]

Case Presentation: A 19 year-old woman with anxiety and recurrent fevers of unclear etiology presents with fever, sore throat, and body aches. Three days prior to presentation, the patient developed sore throat, dysphagia, and dysphonia. She presented to urgent care, started amoxicillin without improvement. She developed fevers (Tmax 104F) two days later, prompting an Emergency [...]