Case Presentation: A 66-year-old male with end-stage renal disease on hemodialysis (HD), cervical spine stenosis with chronic constipation and previous stercoral colitis complicated by enterococcal bacteremia presented with two weeks of fevers and generalized weakness. The patient denied cough, runny nose, headaches, abdominal pain, diarrhea, or rash. He further denied recent procedures, hospitalizations, travel, or [...]

Case Presentation: A 43-year-old male with a past medical history of Atrial Fibrillation on Warfarin, Stage III Chronic Kidney Disease, and Chronic Systolic Heart failure (EF 15%) presented to the ED with diarrhea and dyspnea. He was found to be in Atrial fibrillation with Rapid Ventricular Response with CHF exacerbation and shock, and he was [...]

Case Presentation: A 62-year-old male patient with a history of heart transplant nine years ago on mycophenolate mofetil (MMF) presented for chronic diarrhea with increasing frequency, urgency, incontinence, sporadic melena, and fevers. He tested positive for Clostridium difficile (C. diff) toxin and improved on fidaxomicin. Soon after discharge, he required rehospitalization for worsening symptoms. A [...]

Case Presentation: A 70-year-old male presented to ED with a 10-day history of fever with chills, sweating, abdominal pain and generalized weakness. The abdominal pain was predominant in right lower quadrant (RLQ), accompanied by nausea, vomiting, loss of appetite and significant weight loss more than 10 lbs. in 10 days. He denies jaundice, pruritus, constipation, [...]

Case Presentation: A 46-year-old Guatemalan male with a past medical history of hypertension, type 2 diabetes mellitus, iron deficiency anemia, and chronic ethanol use presented with intermittent fevers, bright red blood per rectum, loose bowel movements, and significant unintentional weight loss. Physical examination revealed right upper quadrant tenderness and conjunctival pallor but was otherwise unremarkable. [...]