Case Presentation: A 29-year-old African American male with no prior past medical history initially presented to the Orthopedics clinic for evaluation of multiple soft tissues masses. They had been present over all four extremities as well as the back and had been progressively increasing in number. Due to pruritis patient would scratch them and they [...]

Case Presentation: A 63 year old female with a past medical history significant for rheumatoid arthritis, COPD, hypertension, hypothyroidism who was admitted with the chief complaint of a rash. It was present for two months and was predominantly distributed on the extremities and gluteal region. It was painful and at times even pruritic. There were [...]

Case Presentation: A 46 year-old man with bipolar disorder and hypertension presented to the emergency department (ED) with total body pain. He had been at the local airport when he had sudden onset total body throbbing sharp pain. He collapsed on the floor and a bystander called EMS who transported him to our ED. His [...]

Case Presentation: A 28 year-old woman with AIDS and a CD4 count of 178 cells/mm3, not on antiretroviral therapy, presented with odynophagia for 2 weeks as well as increased swelling in her neck and inguinal area. She denied any neurological symptoms. On physical examination, the patient had extensive cervical lymphadenopathy with no other significant findings. [...]

Case Presentation: 23 years old female with history of lupus and Sjogren’s syndrome was sent to the hospital by her rheumatologist for worsening anemia, thrombocytopenia and kidney injury. Patient was recently admitted to the hospital for a pregnancy related lupus flare with hospital course complicated by diffuse alveolar hemorrhage, autoimmune hemolysis and nephrotic syndrome. She [...]

Case Presentation: 78 year old Asian female with a history of diabetes mellitus type II, hypertension, and recently diagnosed colon cancer presented with severe left ear pain and vesicular rash associated with left sided hearing loss and left facial paralysis. She endorsed decreased taste sensation as well as poor appetite resulting in twenty pounds of [...]

Case Presentation: A 78 year old male with diabetes mellitus, smoking, cirrhosis due to nonalcoholic steatohepatitis, and recurrent left-sided pleural effusions presented with volume overload and oliguria. His serum creatinine had been stable at a baseline of 0.8 mg/dL for years, but in the past month, his serum creatinine progressed to 5.3 mg/dL. 24-hour urinary [...]

Case Presentation: A 39 year-old woman presented to our hospital in late August with non-neutropenic fever and a diffuse maculopapular rash involving her palms and soles. Past medical history was significant for HER2 positive, locally advanced inflammatory carcinoma of the breast. The patient had received neoadjuvant chemotherapy with adriamycin, cyclophosphamide, paclitaxel, pertuzumab, and trastuzumab two [...]

Case Presentation: A 53 year old man presented with a global headache and difficulty concentrating for one week. The patient’s past medical history included systemic amyloidosis status post autologous stem cell transplant, hypertension, and end stage kidney disease, not yet on dialysis. Admission vital signs were within normal limits and physical exam was unremarkable. Computerized [...]

Case Presentation: A fifty year old female with no significant past medical history presented with one year of acute on chronic bilateral periorbital swelling and twenty pound unintentional weight loss. She also complained of xerostomia and keratoconjunctivitis sicca. Review of systems was positive for intermittent nausea, vomiting, abdominal pain, pruritis, and neck swelling. The patient [...]