Case Presentation: 70-year-old male with remote past medical history of prostate cancer and COPD presented to the emergency department with new onset left side weakness along with left side facial droop. Patient underwent CT scan of the head which was negative and an MRI of the brain which showed multiple bilateral small strokes that raised [...]

Case Presentation: A 61 years old male patient not known to have any medical problem presented to the emergency department after he noticed swelling in his mouth which increased in size to involve both lips, he reported loose bowel movements in the last couple weeks and mild arthralgia. His physical examination was completely normal apart [...]

Case Presentation: A 66-year-old female with newly diagnosed diabetes mellitus type 1 (DMT1) and hypertension was evaluated for severe hypokalemia on routine labs. Associated symptoms included generalized fatigue, muscle cramps, bilateral lower extremity edema. Physical exam was remarkable for moon face, bibasilar crackles, and lower extremity edema. Initial workup showed sodium of 151 mEq/L, potassium [...]

Case Presentation: A 58-year-old man with a medical history of recurrent acute on chronic pancreatitis due to alcohol use disorder presented with a 3-day history of right-sided pleuritic chest pain and dyspnea. Chest X-ray revealed a new large right-sided pleural effusion.   Analysis of the aspirated serosanguinous exudative pleural fluid yielded a total amylase of 24,600 [...]

Case Presentation: A 90-year-old man with a history of left upper lobe pulmonary nodule on prior imaging presented with dark tarry stools, fatigue and syncope. He had not had an EGD or colonoscopy done in about 10 yrs. Five months prior to this presentation, a 2.4 cm left upper lobe pulmonary nodule suspicious for neoplasm [...]

Case Presentation: A 48-year-old morbidly obese woman with history of sarcoidosis with annual cutaneous flares was admitted for extensive non-healing, necrotic ulcers on her lower extremities. Three months prior to presentation, the patient developed open ulcers on her legs which she attributed to a typical sarcoid flare. She later developed diffuse body malaise and dark [...]

Case Presentation: A 57-year-old woman with history of bipolar I disorder treated with risperidone and lithium for over 10 years was sent to the ED for stroke evaluation by her primary care physician due to significant confusion and slurred speech. The patient’s family reported a 3-day history of tremulousness, a week of ataxia with a [...]

Case Presentation: A 36-year-old Haitian female presented with a four-month history of “pus like drainage from a left abdominal wall opening”. It began with left flank pain followed by a “bump” in that area which progressed to a chronic draining fistula. There was associated lumbar back pain,aggravated by walking and relieved by lying on her [...]

Case Presentation: A 25 year old female with a recent history of a left upper extremity deep venous thrombosis (DVT) s/p thrombectomy presented to the emergency room with nausea and vomiting and was found to have acute kidney injury. Two weeks prior to presentation, the patient was admitted to another hospital with left upper extremity [...]

Case Presentation: A 44-year-old woman with a past medical history of systemic lupus erythematosus (SLE) not on maintenance therapy presented with joint pain, nausea, abdominal pain, and fever for one week. At the time of admission, the patient was found to have elevated ESR 72, CRP 30, and ferritin 4075. Admission labs were also notable [...]