Case Presentation: A 65-year-old woman with history of hypertension and diabetes mellitus presented to ER with 3-day worsening abdominal pain that she was experiencing for about 4 months. Pain was sharp, mainly in periumbilical region and lower abdomen, associated with several episodes of vomiting, non-bloody diarrhea for two days, weakness and myalgia. On examination, she [...]

Case Presentation: A 62 year-old Caucasian male, with a 10-year history of ulcerative colitis (UC), presented to ER with acute onset of throbbing frontal headache for 1 day with associated photophobia and severe right eye pain. He reported having nausea and several episodes of vomiting. He denied any vision changes, speech difficulty, focal weakness, rash, [...]

Case Presentation: A 73 year old male patient was referred to our facility for further evaluation of abnormal cardiac imaging. Patient has no prior history of coronary artery disease, has history of stage I (pT1bN0M0) renal cell carcinoma (RCC) status post right nephrectomy 12 years prior to his presentation. He had no evidence of residual [...]

Case Presentation: A 61-year-old African-American male with a history of hepatitis C virus, syphilis and substance abuse history presented with a 1-day history of painful, blue discoloration of toes, ears, and nose associated with exquisitely tender, hyperpigmented and edematous distal upper and lower extremities. The patient’s urine drug screen was positive for cocaine. The location [...]

Case Presentation: A 59-year-old man with no significant past medical history presented with 3-5 days of left-sided neck pain and swelling. Physical exam was notable for enlargement of the left side of his neck that was tender to palpation. He had no fever, dental carries, pharyngeal erythema, cervical nor supraclavicular lymphadenopathy. His laboratory analysis was notable [...]

Case Presentation: 85‑year‑old female with history of infiltrating lobular carcinoma of the left breast, initially diagnosed in 2005, status post left modified radical mastectomy, adjuvant radiation and adjuvant endocrine therapy with arimidex for 5 years that she completed in 07/2010.  At that time, the tumor size was 8 cm extending into the dermis and focally present [...]

Case Presentation: A 52 year old African American male presented to the ED complaining of dyspnea that started 1 day prior. He denied having a fever, cough, or sick contacts. On presentation the patient appeared to be in respiratory distress. Initial vital signs: Temp 98.1, HR 105, SpO2 71% on room air, RR 36, and [...]

Case Presentation: A 28 year old man presented to the ED with hypotension and tachycardia. Laboratory evaluation showed hyponatremia, hyperkalemia, hematocrit of 47.4, cortisol level<0.5, ACTH elevated at 886, TSH 11.91, Free T4 1.0 and negative anti TPO antibody. On admission, the patient had orthostatic hypotension and ashen grey skin tone. Cosyntropin stimulation test resulted [...]

Case Presentation: A 41 year old African American man history presented with 8 months of diarrhea with tenesmus. He had no past medical history and took no home medications. He also complained of cough and 15 pound unintentional weight loss in the past month, but had no nausea or vomiting. He was febrile to 103.7, [...]

Case Presentation: A 48 year-old male with a past medical history of morbid obesity, hypertension, and poorly nutritious diet consisting strictly of “pizza and chips” who presented after he was found unresponsive and incontinent of urine at home. He reportedly did not consume alcohol. Four weeks prior to presentation, he developed an acute onset of [...]