Case Presentation: A 25-year-old Hispanic female presented to our hospital with a 2-day history of abdominal pain which began abruptly and was associated with fevers, chills as well as intermittent nonproductive cough which had been present since her last episode of pneumonia about 6 months ago. She was admitted to the ICU for management of [...]

Case Presentation: A 42-year-old male with a history of T2DM, subacute bilateral LE weakness and paresthesia presented with UTI, urinary retention and anejaculation. One month prior to admission the patient was taken to the ED after a fall with worsening bilateral lower extremity weakness. An MRI of the lumbosacral spine was performed which showed an [...]

Case Presentation: A 58 year-old Caucasian female presented with a history of painful lesions of the gluteal, perineal, and vulvar areas. These lesions had been progressive with worsening drainage and scar formation over the last decade. She was treated with multiple antibiotics and antifungals in the past without improvement. No lesions were seen in her axilla. [...]

Case Presentation: This is a 65-year-old man with cryptogenic cirrhosis who was transferred to a tertiary care hospital for liver transplant evaluation. His course prior to transfer was complicated by decompensated cirrhosis leading to ascites requiring large volume paracentesis (LVP), acute kidney injury, and upper gastrointestinal bleed due to severe esophagitis with non-bleeding esophageal varices. [...]

Case Presentation: A 45-year-old woman with type 2 diabetes mellitus (DM) and dyslipidemia presented with a 2-day history of nausea, vomiting, and epigastric pain. Two years earlier, she had an episode of pancreatitis secondary to hypertriglyceridemia (HTG; 1120 mg/dL), which was treated with gemfibrozil and atorvastatin. Her family history was significant for hyperlipidemia and type [...]

Case Presentation: A 21-year-old male with no significant medical history presented with complaints of diplopia of three-week duration which resolved after treatment with steroids. After the initial encounter, patient presented with one week history of left sided facial droop indicative of facial nerve palsy. Extensive neurological work-up including lumbar puncture and imaging were unrevealing, which [...]

Case Presentation: A 66-year-old female with a history of hypertension presented to the emergency department with one week of lower extremity edema, nausea, and vomiting. On admission, the patient was found to be hyponatremic, hypoalbuminemic, with nephrotic range proteinuria (urine protein-to-creatinine ratio of 8.5 g/g) and acute kidney injury. During the hospital course, the patient’s [...]

Case Presentation: A 52 year-old homeless man presented to the ED with knee pain after a mechanical fall. X-ray confirmed a depressed, lateral tibial plateau fracture. He was discharged with a knee brace and a referral to orthopedic surgery. Because of continued knee pain, he returned to the same ED two days later and went [...]

Case Presentation:  A 32-year-old man with human immunodeficiency virus (HIV) presented with a painful and swollen right ankle. The patient had been well until 6 weeks ago when he developed a sprain followed by worsening pain and swelling of his ankle. His CD4+ T-lymphocyte count was 169 cells/mm3 with a viral load of 3770 copies/mL. [...]

Case Presentation: Syncope has many varied etiologies, ranging from cardiogenic to neurologic phenomena. We present a case of a gastrointestinal (GI) tumor causing anemia and subsequent syncope in a patient with no clinical evidence of GI bleeding. A 79-year-old Filipino female with sick sinus syndrome status-post pacemaker placement, atrial fibrillation on anticoagulation, history of a stroke with [...]