Case Presentation: A 58-year-old man with a history of type 2 diabetes mellitus (A1c 9.1%), recurrent ear infections presented to hospital with left ear pain, facial weakness, and sudden vision loss. The patient had frontal and left-temporal headaches for several months thought to be secondary to migraines or temporal arteritis. A temporal biopsy had been [...]

Case Presentation: A 37-year-old female with no medical history presented for lab abnormalities. Initial blood work revealed a hemoglobin of 5.1 g/dL with a MCV and MCH unable to be calculated. Her white blood cell and platelet counts were normal. She denied melena, hematochezia, or other episodes of bleeding other than menorrhagia requiring up to [...]

Case Presentation: A 65-year-old man with hypertension presented to his primary care doctor with six months of lower extremity swelling. He also reported dyspnea on exertion, fatigue, unintentional weight loss, maculopapular rash, and foamy urine. Labs revealed hypoalbuminemia, elevated inflammatory markers, and protein-to-creatinine ratio of 3882, raising concern for nephrotic syndrome.He was referred to nephrology [...]

Case Presentation: A 27-year-old woman with no significant medical history presented with a two-month history of headache, neck stiffness, nausea, vomiting, photophobia, back pain, and fever. Two months prior, she underwent liposuction and a Brazilian Butt Lift. Examination showed nuchal rigidity and lumbar tenderness. Labs revealed elevated ESR (24 mm/hr) and CRP (31.9 mg/dL), with [...]

Case Presentation: A 68 year old Ohioan male with history of chronic renal failure and prior evaluation for monoclonal gammopathy of undetermined significance (MGUS) presents with weakness and unintentional weight loss. Previous work up identified Bence Jones proteinuria, normal K/L ratio, serum immunofixation (IF) and serum protein electrophoresis (SPEP) with two IgG lambda bands and [...]

Case Presentation: A 56-year-old male presented to the emergency department with acute-onset severe hypotension, light headedness, rash, nausea, and vomiting. He progressed to develop widespread urticaria and facial flushing. He was previously in his normal state of health. He reported eating “meat and potatoes for dinner”. Social history was pertinent for frequent tick exposure as [...]

Case Presentation: A 73-year-old male with hypertension, hyperlipidemia, and mild COPD presented with word-finding difficulties. Initial brain imaging at an outside hospital suggested a left intra-axial peri-Rolandic lesion, raising suspicion for a primary brain tumor like glioma. He was transferred for neurosurgical evaluation, where MRI revealed a ring-enhancing lesion with restricted diffusion, consistent with a [...]

Case Presentation: A 34-year-old, un-domiciled, woman with T1DM, hypertension, hypothyroidism, polysubstance use disorder, and depression presented with nausea, vomiting, and diffuse abdominal pain for 24 hours. She had run out of her long-acting insulin one month prior and was substituting with short-acting insulin until she ran out of that as well two days before admission. [...]

Case Presentation: An 82-year-old woman with a history of cirrhosis (unknown underlying etiology) and intermittent travel to Mexico presented to the emergency room with two weeks of abdominal pain, which included two episodes of hematemesis. She appeared thin, with low muscle mass, and her abdominal examination revealed distension, tenderness, ascites, and a fluid wave. Vitals [...]

Case Presentation: A 46-year-old woman with alcohol use disorder, hypertension, and hepatic steatosis presented with 1 week of daily fevers and left upper quadrant abdominal pain. She reported chills, night sweats, cough, postprandial nausea and vomiting, and an intermittent unilateral headache but denied other focal symptoms, recent travel, or sick contacts. She was febrile to [...]