Case Presentation: A previously healthy 32-year-old man presented to the ER for two weeks of yellowing skin and eyes. He denied recent illness, weight loss, GI symptoms, hemoptysis, and night sweats. He had arrived in the US four months earlier after a month-long trek through seven countries. He denied any animal bites, but did drink [...]

Case Presentation: A 65 year old male with hypertension, type II diabetes, heart failure with recovered ejection fraction and emphysema with 30 pack year smoking history started to experience 15 pound weight loss and anemia 18 months ago. Initial presentation to PCP revealed elevated ALP 292U/L and Hemoglobin 12.6g/dL. Cancer screening with CT chest showed [...]

Case Presentation: A 44-year-old man with no significant medical history was referred from our ophthalmology clinic with clinical concern for optic neuritis. One week earlier, he noted acute onset of left eye discomfort and blurred vision which evolved to central vision loss and brightness desaturation, accompanied by new headaches. Initial exam and lab work were [...]