Case Presentation: This patient is a 53-year-old male with type 1 diabetes, hyperlipidemia and hypertension who presented with a 5 week history of diffuse whole body edema and an unintentional weight gain of 10 kilograms. He was started on bumetanide, losartan and empagliflozin by his outpatient team with brief improvement but subsequently worsened. He presented [...]

Case Presentation: A 21-year-old male with no prior medical history presented with progressive dyspnea and bilateral lower extremity edema that began four months prior. On exam, he had JVD to the mandible, positive hepatojugular reflux, a harsh grade III/VI systolic murmur at the right lower sternal border, pitting edema to the hips, and an erythematous [...]

Case Presentation: A 77 year-old female without significant history presented with six months of urinary incontinence, six weeks of progressive confusion and falls, and one day of decreased speech and poor appetite. During two recent hospitalizations for acute encephalopathy, imaging revealed a frontal lobe meningioma, acoustic neuroma, and diffuse ventricular enlargement.On admission, the patient was [...]

Case Presentation: A 34-year-old male presented with 3 months of sores on his oral mucous membranes, rash, and a 50 lb weight loss felt to be due to pain with eating. He was seen by various providers in the outpatient setting and took courses of Valacyclovir, Azithromycin, and steroids without improvement. On initial presentation, there [...]