Case Presentation: We are reporting the case of a 25-year-old Hispanic gentleman with a strong family history of Familial Adenomatous Polyposis (FAP) and Colorectal Cancer (CRC) who presented for evaluation of abdominal pain, recurrent bloody stools, and profound weight loss. Initial Hb was 7.2 g/dL, and abdominal examination showed generalized rigidity and tenderness worse in [...]

Case Presentation: A 71 year old male presents to the ED with diffuse abdominal pain and nausea for the day. He has an extensive medical history including Type II DM, CAD, HFpEF, and COPD. He was recently prescribed Bactrim for a UTI, but notes persistent dysuria and suprapubic discomfort which prompted him to take an [...]

Case Presentation: A 33-year-old Kenyan male school teacher presented to the hospital with a 3-day history of a gradually worsening diffuse headache, nausea and vomiting, and fevers. His past medical history was notable for liver cirrhosis of unknown etiology (Child-Pugh class B), complicated by portal hypertension. He had no known history of tuberculosis. His vital [...]

Case Presentation: 65 year old female with history of rheumatoid arthritis on methotrexate and hydroxychloroquine, prior gastric ulcers on EGD, who was admitted to the hospital with bloody diarrhea, epigastric pain, acute blood loss anemia found to have duodenal ulcer. Patient received 2 units of blood products on hospitals day one and four. Course had [...]

Case Presentation: A 23-year-old male with a history of migraines and a renal transplant presented to the ED with diffuse headaches and photophobia. He was treated with Ganciclovir and Doxycycline for positive HHV6 and Lyme disease, respectively. His MRI was negative for intracranial abnormalities but, CSF showed elevated protein and glucose. A repeat LP a [...]

Case Presentation: 76 year old male with non-Hodgkin lymphoma presented with shortness of breath and cough and was admitted with acute hypoxic respiratory failure (AHRF). Last chemotherapy treatment was one month before presentation with rituximab, in addition to other agents. He had completed 2 out of 6 planned chemotherapy cycles. On physical exam, there were [...]

Case Presentation: A 57-day old ex-term, Caucasian female presented with one day of diffuse rash and fever in the setting of congestion and a sick sibling. Her rash was initially attributed to viral erythema multiforme. She was well-appearing but given vulnerable age and elevated band count, she was admitted for observation. With improvement of her [...]

Case Presentation: A 13-year-old previously healthy boy presented to the emergency department with 1 day of jaundice and scleral icterus as well as acute on chronic progressive abdominal pain. Review of systems was notable for unintentional 5 kg weight loss over the past year, fatigue, oral ulcers, Raynaud’s phenomenon, and gross hematuria. He had no [...]

Case Presentation: A 17 year-old male with a history of marijuana and nitrous oxide use presented with 4 days of paresthesia in his bilateral lower extremities, sudden onset-ataxia, gait instability, and genital numbness extending to his extremities. Comprehensive infectious and neurologic workup for Guillain-Barré syndrome, transverse myelitis, and other neuropathies all returned negative. Magnetic resonance [...]

Case Presentation: A 4-month-old unvaccinated male, presented with left-sided weakness and decreased activity. Initial physical exam demonstrated right gaze deviation, left hemineglect, decreased left-sided movements, and absent left plantar reflex. Labs showed leukocytosis 22.8 K/uL, anemia 8.6gm/dL, and thrombocytosis 661K/uL. CT brain demonstrated intracerebral edema in the distribution of the right middle cerebral artery (MCA). [...]