Case Presentation: We present a case of acquired hemophilia A (AHA) in an elderly patient with longstanding rheumatoid arthritis (RA). An 85-year-old woman was transferred from an outside hospital for further evaluation of spontaneous soft tissue hematomas. She reported numerous enlarged bruises, spontaneously appearing on her upper and lower extremities over the last 2 months. [...]

Case Presentation: A 44 year old African American man presented to the hospital for evaluation and treatment following generalized tonic-clonic seizures. He denied recent and remote travel, fever, chills, sick contacts, constitutional symptoms, and felt relatively well at time of interview. He was on maintenance immunosuppression with prednisone 20 mg daily for sarcoidosis. MRI demonstrated [...]

Case Presentation: A 62 YO woman with PMHx significant for type 2 DM, HTN, CAD with a previous MI, and OSA was recovering as expected from elective decompressive laminectomy. On POD 4 she developed nausea, confusion, and lethargy. The hospitalist service was consulted, prompting a metabolic work-up that suggested anion gap metabolic acidosis. There were [...]

Case Presentation: A 66-year-old man with history of hypertension, gastroesophageal reflux disease, and hyperlipidemia presented with jaundice and one week of diarrhea with occasional hematochezia. In addition, he noted dark urine, decreased PO intake and appetite. On exam, he was jaundiced with scleral icterus. Lab work revealed acute kidney injury with initial creatinine level of [...]

Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a gluteal abscess and was prescribed levofloxacin. Two days later, he began to experience twitching of his face and jerking of [...]

Case Presentation: A 30-year-old African American man with no prior medical history presented with two weeks of sharp lower back pain radiating to the left flank and leg with associated tingling. He also reported night sweats, chills, and subjective fevers during this time. He denied recent weight loss, bowel and bladder dysfunction, IV drug use, [...]

Case Presentation: A 74-year-old African-American woman presented to our Emergency Department with hemoptysis and severe respiratory distress. Two weeks prior to presentation, she was admitted with persistent cough and blood streaked sputum of 1-month duration and was treated with antibiotics for a presumptive diagnosis of pnemonia after a negative bronchoscopy and bronchoalveolar lavage (BAL). Her [...]

Case Presentation: A 50 year-old gentleman with seronegative rheumatoid arthritis on leflunamide presented with foreign body sensation, irritation, pain and photophobia in bilateral eyes which acutely worsened to bilateral vision loss. Funduscopic and slit-lamp examination showed crusting, moderate erythema, and edema of both eyes. Further detailed exam showed mucoid discharge, bilateral corneal infiltrates, corneal neovascularization, [...]

Case Presentation: A 44 year-old female with a history of essential hypertension presented with one month of progressive chest pain, dyspnea and fevers. These symptoms were associated with a dry cough, sore throat and symmetric joint pains with swelling and morning stiffness of the hands and wrists. Her chest pain was left sided and knife-like, [...]

Case Presentation: A 44 year-old African-American man presented to his primary care physician with a five day history of neck swelling and pain associated with chills, night sweats and weight loss. Three days prior to presentation, he was evaluated at a nearby emergency department and prescribed amoxicillin-clavulanic acid without improvement. Physical and laboratory examinations were [...]