Case Presentation: An 80-year-old man with past medical history of GERD and hypothyroidism presented to the hospital with a 3-month history of progressive dysphagia, odynophagia, painful tongue swelling, and an associated 40-pound weight loss. Initial physical exam was only notable for left sided tongue swelling that resolved after one day of dexamethasone. Labs during hospitalization [...]

Case Presentation: 54-year-old male with history of stroke, seizures, neurogenic bladder, and spine surgery presented with increasing left sided weakness, trouble swallowing, unintentional 67-pound weight loss, headaches and double vision. On exam, he had bilateral upper extremity weakness, partial ptosis, diplopia, right eye ocular palsy, right eye gaze restriction in supraduction and abduction. Complete blood [...]

Case Presentation: A 55-year-old man with no known past medical history presented with left facial droop, left hemiplegia, and dysarthria for over 48 hours. CT of the head showed a right middle cerebral arterial (MCA) ischemic infarct. Patient was not a candidate for thrombolysis or thrombectomy and was treated with dual antiplatelet therapy. During admission, [...]

Case Presentation: A 69-year-old male with a complex medical history including coronary artery disease, abdominal aortic aneurysm, and polyarthralgia was hospitalized for treatment of lower extremity necrotizing fasciitis and refractory ulcers. During hospitalization, the patient developed intermittent melena. Upper endoscopy was unremarkable. Contrast-enhanced CT revealed biliary dilation with evidence of blood in the biliary system [...]