Case Presentation: 59-year-old Male who presented to the Emergency Department (ED) with generalized rash and fevers. The patient stated that the rash started as a blister in his groin and then spread to the rest of his body. The patient’s past medical history was significant for seizures controlled with phenytoin, cirrhosis secondary to alcohol abuse, [...]

Case Presentation: A 66 year-old woman with Waldenstrom macroglobulinemia (WM), hypertension, and hyperlipidemia presented with acute altered mental status. She had been diagnosed with WM by bone marrow biopsy and was treated with rituximab, then maintained on thalidomide until 2 months prior to presentation. Her mother had suffered from multiple myeloma. Vital signs were normal. [...]

Case Presentation: A 75 year-old man presented with one month of leg swelling and early satiety. He had a history of coronary artery disease and atrial fibrillation (managed with amiodarone for the past 2 years). He recently initiated furosemide treatment but had no history of symptomatic heart failure. Physical exam showed elevated jugular venous pressures, an irregularly irregular heart [...]

Case Presentation: A 37-year-old gentleman with a history of metastatic carcinoid tumor with metastases to the liver and mediastinal lymph nodes was admitted to the hospital after presenting to the ED with three days of fevers and altered mental status. On presentation there was no overt source of infection. He had chronic abdominal pain that [...]

Case Presentation: A 67 year old female presented to an outside facility with four months of intermittent abdominal pain and alternating episodes of diarrhea and constipation. CT scan of the abdomen and pelvis showed a large lobulated mesenteric mass closely adherent to adjacent bowel and encasing the SMA and SMV. A CT-guided core needle biopsy [...]

Lupus Presenting as Abdominal Pain: More than a Gut Feeling Ileannette Robledo, MD, Jose Carlos Barrientos, MD, Joan Bosco, MD, Christine Chen, MD, Harry Fischer, MD, Wan Ling Lam MD, Mount Sinai Beth Israel, Icahn School of Medicine, New York, NY, Abstract Text: Case Presentation: We describe a case of a 28-year-old Asian woman with [...]

Case Presentation: A 29-year-old woman with a past medical history of mild intermittent asthma treated with albuterol and morbid obesity status post gastric sleeve surgery presented to the emergency department with sharp epigastric pain of two days duration. The patient was initially seen at an urgent care center and empirically treated for gastritis with omeprazole, [...]

Case Presentation: A 40-year-old man with inconsistently treated HIV infection presented with a progressive cough, dyspnea, and pleuritic chest pain over a two-week period which were associated with fevers, chills, night sweats, and a 40-pound weight loss. He emigrated from Mexico 10 years prior and had traveled to the central valley of California. On physical [...]

Case Presentation: A 24-year-old African-American woman presented with nausea, flank pain, and hematuria recurring over several months. Review of symptoms and past medical history were negative. She was a current smoker. Family history was noncontributory. Physical exam was significant for bilateral flank pain. Laboratory testing, serology, and kidney biopsy led to the diagnosis of rapidly [...]

Case Presentation:  A 35 year-old Chinese male with a known history of Crohn’s disease was diagnosed in 2014 and treated with nine doses of infliximab. He had normalization of his colon on follow up colonoscopy, but without complete resolution of the patient’s symptoms.  He was started on azathioprine and his symptoms worsened. Repeat colonoscopy showed [...]