Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was found to have declining FEV1 and FVC levels. A chest x-ray was performed to evaluate underlying abnormalities and revealed bilateral [...]

Case Presentation: A 51-year-old man with type 2 diabetes presented with icterus and generalized, non-pruritic, well-circumscribed, red, papular eruptions, including on his palms and soles. He had no fever, malaise, or arthralgia and no recent/current medication use; he drank alcohol only socially. He had conjunctival icterus and several tiny mucous patches in the oral mucosa. Ultrasound [...]

Case Presentation: A 49-year-old man with type 2 diabetes was admitted to our hospital because of impaired consciousness. The patient was fatigued for 10 days and had visited his primary care physician who administered an intravenous drip the day before admission. In ER, he was unconscious with a Glasgow Coma Scale of 6; his breathing pattern [...]

Case Presentation: 65 year old man with HTN, active tobacco and alcohol use presents with right (R) hip and knee pain for 4 months, worsening over the past 2 weeks. 3 months ago, he presented to an orthopedic clinic for progressive R hip pain without any history of trauma or injury. An MRI showed a [...]

Case Presentation: A 71 year old man with history of multiple sclerosis and gout (on Methylprednisolone) presented with weakness. Patient was diagnosed with a UTI on a recent hospital admission for fever and weakness. He improved on IV antibiotics and was discharged home to complete a 7-day PO course, but returned 9 days later after [...]

Case Presentation: A 44 year-old man with history of anemia and HIV on antiretroviral therapy (ART) with CD4 359 presented with a 3-month history of progressive bilateral lower extremity swelling, increasing abdominal girth, and scrotal edema. He reported a 20-pound unintentional weight loss over the last year, associated with progressive fatigue and drenching night sweats [...]

Case Presentation: Case 1 is a 55 year-old healthy man who was brought to the ER after co-workers witnessed him slump down while seated and lose consciousness for 30 seconds. The patient recalled feeling “uneasy” prior to the episode. There were no tonic-clonic movements or loss of bowel or bladder function. Upon awakening, the patient [...]

Case Presentation: FM is a 44 yo black female with a history of mixed connective tissue disorder who presented to the emergency room with worsening pain in her left wrist, facial swelling and worsening ulcers and rash on her face.  The rash on her ears and face started 2 days prior.  She had been off [...]

Case Presentation: An 88-year-old man presented with progressively worsening shortness of breath and fever. He has a history of Stage IV squamous cell carcinoma of the lung, status post external beam and stereotactic body radiation therapy. Four months prior to presentation, he was found to have a left-sided malignant pleural effusion. He was readmitted two [...]

Case Presentation: A sixty-two year old woman presented with altered mental status, acute right-sided weakness, hypoglycemia, and acute-on-chronic kidney disease. Physical exam was also significant for lower extremity edema. A head CT demonstrated left parietal meningioma. Her symptoms resolved, but her hospital course was complicated by worsening pulmonary hypertension, diastolic dysfunction and progression of her [...]