Case Presentation: A 69-year-old patient was referred to us by his PCP for subacute onset of confusion. Two months prior to presentation he was diagnosed with Focal segmental glomerulonephritis and had been on immunosuppressive therapy with Mycophenolate mofetil and Prednisone. He subsequently developed productive cough, and shortness of breath and was found to have a [...]

Case Presentation: A 29-year-old female with history of hypothyroidism, Bipolar affective disorder, tobacco use disorder and old head trauma with face reconstruction in 2004 who presented with a first-time seizure. She was trying to quit smoking and was on bupropion to help quitting. She continued bupropion for about one month but was unable to quit [...]

Case Presentation: A 70-year-old male who presented to us with worsening dyspnea on exertion and non-productive cough. Review of systems was negative. Vitals were unremarkable; physical examination was significant for bilateral basilar rales which were corroborated by his chest x-ray that revealed bilateral pleural effusions. Laboratory findings were notable for normocytic anemia and elevated liver [...]

Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history of hematemesis associated with midsternal chest pain. He reported taking a nifedipine tablet, which felt like it was “stuck in [...]