Case Presentation: A 65-year-old man with a history of nasal polyps was admitted to the hospital with a lactate of 10 mmol/L (0.5-2.2 mmol/L). He reported drenching night sweats and a 10-pound weight loss over the last 2-3 months. He noted orthostatic and ambulatory dizziness, as well as left-sided tinnitus, sinus pain, and nosebleeds over [...]

Case Presentation: A 79 year old African American female with non-ischemic cardiomyopathy, EF 35-40%, hypertension, chronic kidney disease, hypothyroidism, mild pulmonary hypertension, obesity, and mixed hyperlipidemia, presented with worsening dizziness and bipedal edema for 2 weeks. Patient reported stopping diuretics and carvedilol due to persistent hypotension for several months. Patient noted unintentional weight loss of [...]

Case Presentation: A 62-year-old male with past medical history including tobacco use and hypertension presented to the ED with fatigue, generalized weakness, and ankle pain of two-week duration. His clinical course started with upper respiratory symptoms following contact with family members who were positive for COVID-19. The presenting symptoms resolved without confirmatory testing and were [...]

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: 80 y.o. female with a history significant for hypertension and hyperlipidemia who presented to the Emergency Department for abnormal blood work. Patient had been in her usual state of health but had noticed a dark color to her urine and a yellow tinge to her eyes.On review of her blood work she was [...]

Case Presentation: A 48-year-old female with no significant past medical history was initially hospitalized for community-acquired pneumonia and subsequently developed hematemesis, melena along with fever and night sweats. Other presenting symptoms included productive cough, worsening dyspnea, and 80-pound unintentional weight loss in 3 months. She denied travel/occupation history. Further workup showed WBC 46.6×103/uL, Hemoglobin 8.3 [...]

Case Presentation: A 71-year-old male with a medical history of type 2 diabetes and hypothyroidism presented with six months duration of intermittent pain, swelling, numbness and tingling of his hands. He was previously diagnosed with carpal tunnel syndrome and had carpal tunnel release of his left wrist five months prior to presentation; however, the swelling [...]

Case Presentation: 78 y/o M with past medical history of Diabetes Mellitus type 2, Dyslipidemia ,RCC s/p partial nephrectomy presented with altered mental status. Symptoms started with fatigue, generalized weakness, SOB, 18-20 pound weight loss, constipation ,loss of appetite and confusion that started 1 month ago. Patient appeared frail, was not oriented to time, place [...]

Case Presentation: A 58-year old male with no self-reported history presented to the hospital with hematochezia. Digital rectal exam revealed external hemorrhoids, shallow anal ulcers, a palpable internal rectal mass and frank blood. During his hospital course he required multiple blood transfusions for hemoglobin levels of 5-6 g/dL with ongoing rectal bleeding. CT and MRI [...]