Case Presentation: 61-year-old male presented with fatigue, dizziness and epigastric discomfort. Patient was noted to be anemic on lab investigations. Patient underwent a CT scan of the abdomen and pelvis which demonstrated a 4.7 x 4.6 cm mass in the anteromedial stomach distal to GE junction. There was also a 1.8 x 1.5 cm structure [...]

Case Presentation: We report here a case of high output heart failure (HOHF), a rare but potential complication of Arteriovenous fistula (AVF) in a post-renal transplant patient.A 60-year-old male with end-stage renal disease and subsequent renal transplant 3 months ago presented with exertional dyspnea, worsening anasarca, and weight gain of 20 pounds. The patient also [...]

Case Presentation: The World Health Organization designates a rare disease as one affecting under 6.5-10 per 10,000 people (1). We present a case of disparate findings, ultimately diagnosing Erdheim-Chester Disease (ECD), a rare non-Langerhans histiocytic multisystem disorder with fewer than 1000 reported cases (2,3).A 63-year-old man presented with months of progressively worsening anasarca, acute on [...]

Case Presentation: A 46-year-old female with history of rheumatoid arthritis and asthma presented with chest and back pain to an outside facility and was evaluated for acute coronary syndrome and cholecystitis. Patient’s absolute eosinophil count (AEC) was 1.76 at that time. Patient was re-admitted with altered mental status and vomiting. Her AEC was 41. Strongyloides [...]

Case Presentation: A 49 year old female with past medical history of atrial fibrillation, cerebrovascular accident, and hypertension presented with abdominal pain and rectal bleeding. Patient reported 3 days of worsening, non-radiating L-sided abdominal pain. Review of systems was positive for one episode of fever to 38.3℃, nausea, anorexia, and blood-streaked diarrhea. The patient had [...]

Case Presentation: A 49-year old man presented to the emergency department (ED) with dizziness and lethargy. He had a history of hypertension, anemia, and pilomatrix carcinoma (PC), a rare cutaneous malignancy. This was diagnosed one year prior and treated with wide excision with negative margins. He was lost to follow up for 7 months prior [...]