Case Presentation: A 32 year old male with recently diagnosed hypertension was admitted for worsening abdominal pain and 20 lbs of unintentional weight loss over 4 months. He reported intermittent abdominal pain for a year associated with constipation, nausea, nonbloody nonbilous emesis, and low back pain radiating to the legs with weakness limiting ambulation. Associated symptoms included difficulty urinating, lightheadedness, and [...]

Case Presentation: A 73 year-old woman presented with lethargy and decreased responsiveness for one day.  She did not respond to her name or noxious stimuli and did not follow commands.  She would spontaneously repeat the phrase “I see the light” but was otherwise non-verbal.  Waxy rigidity was noted on passive extension and flexion of her [...]

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: 46 yo African American woman with MCTD on plaquenil and prednisone with ILD, PAH, chronic pseudoobstruction, gastroparesis and chronic malnutrition requiring TPN who originally presented at her local hospital with intractable nausea, vomiting and abdominal pain.  She had recently presented numerous times for these complaints and therefore was transferred to a different facility.  [...]

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 [...]