Case Presentation:      A 47-year-old woman with type one diabetes and end stage renal disease received a simultaneous kidney and pancreas transplant with thymoglobulin induction and enteric drainage. Five months after transplant, she came to the emergency room for two weeks of hematuria. On physical exam vital signs were within normal limits and she [...]

Case Presentation: A 40-year-old immigrant from Bangladesh with a history of uveitis presented to the emergency department for evaluation of abdominal pain. He first developed fevers 10 days prior to admission, when he was visiting his hospitalized mother in Bangladesh. He subsequently noticed increased abdominal girth and returned to the United States for additional evaluation. [...]

Case Presentation: A 55 year-old woman with a history of antibody-mediated autoimmune encephalitis (AME) treated 1 year ago presented to the hospital with confusion and hyperactivity following intentional overdose of amitriptyline and clonazepam. 1 week prior, the patient reported increasing her amitriptyline dose for worsening headache. 5 days later, she took four times the prescribed [...]

Case Presentation: A 55-year-old woman with history of hypertension presented with 1-day duration of inability to urinate despite adequate fluid intake. Patient has no known history of renal dysfunction. Review of system positive only for dysuria and diarrhea. Past surgical history revealed right Nephrectomy in 2015 to donate her kidney to her husband, who had [...]

Case Presentation: This is a 59 year-old woman with ulcerative colitis (UC) who initially presented with frequent episodes of bloody diarrhea and persistent abdominal pain for two months. The patient had been controlled for years on azathioprine and infliximab but was unable to continue infliximab several months prior to presentation. The patient began to complain [...]

Case Presentation: A 70-year-old female with history of type II diabetes, hypertension and depression presented with confusion and rigidity. She was fully functional till two months ago. Family initially noticed behavior changes such as forget to take her pills or pay her bills. Her symptoms worsened quickly within one month; as she appeared more confused, [...]

Case Presentation: A 40-year-old female with hemoglobin SC disease presented with a 2-day history of severe headache and progressive vision loss. On initial evaluation, she was febrile to 100.8 F and tachycardic. Her exam was significant for nuchal rigidity, bilateral dilated nonreactive pupils, and visual acuity left eye hand motion and right eye light perception. [...]

Case Presentation: 80 year-old female with history of dyslipidemia on statin therapy, and diabetes presented to the clinic with a three month history of progressive weakness. She initially presented with lower extremity weakness and was found to have mildly elevated transaminases. Statin therapy was held. However, her symptoms did not improve, and transaminases remained persistently [...]

Case Presentation:  A 28-year-old man presents with suspected recurrent right forearm cellulitis. The patient has had four episodes of pruritic, edematous, erythematous plaques on the arms and neck over the past three months. Each episode lasted for seven to ten days and was in a different location. He has been treated successfully with antibiotics, but [...]

Case Presentation: A 23-year-old woman presented with complaints of jaundice, nausea, and epigastric pain for ten days. She had a history of epithelioid hemangiodendothelioma (EHE) of the lungs, diagnosed six months prior to presentation. She had been treated with interferon alpha-2b (a type 1 interferon) for four months, but this was stopped two weeks prior [...]