Case Presentation: A 44 year old gentleman with a past medical history significant for Crohn’s disease presented for evaluation of painless jaundice and a pancreatic mass in the setting of significant unintentional weight loss and recent flu-like symptoms including night sweats, low-grade fever, and dizziness.  Prior to admission, the patient underwent computerized tomography of the [...]

Case Presentation: A 73  year old female with borderline diabetes mellitus and hypertension presented to the emergency department with the sudden onset of nontraumatic swelling, pain and ecchymosis of her right leg. She did report receiving an influenza vaccination at her left arm 3 weeks prior to this visit resulting in bruising from her shoulder [...]

Case Presentation: A 35 year-old female with a past medical history significant for type 2 diabetes mellitus, polycystic ovarian syndrome and migraine headache presented with alteration of mental status for 2 weeks. Patient endorsed progressive, generalized fatigue with intermittent episodes of confusion, behavioral disturbance, hypersomnia and short-term memory loss. Vital signs on admission were significant [...]

Case Presentation: A 66-year-old male with history of type 1 Von Willebrand disease, colonic polyps, and gastric ulcer from naproxen use due to osteoarthritis presented with a 3-week history of lethargy and fatigue with walking short distances. He denied melena or hematemesis but did report consistent ibuprofen use for his osteoarthritis over the past few [...]

Case Presentation: A 36-year-old female with no clear past medical history other than possible mood disorder presented after three days of decreased level of consciousness. Associated symptoms included body aches, fever, chills, nausea, vomiting, and headaches. The patient had been suffering from flu-like symptoms two weeks prior to presentation and was treated with antibiotics. The [...]

Case Presentation: A 30 year old Hispanic female with no past medical history presented with a one week history of progressive dyspnea and lower extremity edema. Her dyspnea was present at rest, and she also reported orthopnea and nocturnal cough. She denied any associated chest pain, nausea, or diaphoresis. Upon presentation, vital signs were stable [...]

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 [...]