Case Presentation: A 50-year-old man visited our hospital with complaints of malaise, appetite loss, diarrhea, and arthralgia, all of which he had experienced for 5 days before the visit. Although he had been previously healthy and fit, he had visited a different hospital one month earlier because of the sudden onset of a headache and [...]

Case Presentation: A 54-year-old male was referred to our hospital with a headache and left ophthalmalgia since a few weeks. The patient had a 6-month-old history of odontalgia and gingivalgia, but lived an otherwise healthy lifestyle. Physical examination revealed left conjunctival hyperemia, periorbital swelling, and vertical diplopia. In addition, contrast-enhanced head computed tomography (CT) and [...]

Case Presentation: A 67 year old African American male with history of chronic hepatitis B virus (HBV) infection on entecavir therapy [HBV viral load (VL)=64 copies/ml] since 2013 was hospitalized for evaluation of six week history of generalized weakness, thirty pound weight loss and progressive dyspnea. Physical exam was significant for decreased breath sounds and [...]

Case Presentation: The patient was a 23 year old African American male with obesity who presented to the hospital with bilateral lower leg swelling for 2 weeks. He initially noticed the swelling after a 3 hour drive and it resolved after rest and a hot bath. During this time, the patient also noticed increased urinary [...]

Case Presentation: A 59 year-old male with intellectual disability presented with abdominal pain and distension following a fecal impaction. Imaging revealed diffuse gaseous colonic distension with colonic wall thickening suggestive of inflammatory colitis and colonic ileus without obstruction. His labs were notable for severe hypokalemia (1.5 mmol/L) and mild hypomagnesemia. Despite empiric antibiotic course, imaging [...]

Case Presentation: A 52-year-old Caucasian female with medical history of recurrent deep vein thrombosis on warfarin for over 10 years and type II diabetes mellitus, presented as a transfer from outside hospital for further evaluation of necrotic abdominal wall wounds thought to be secondary to warfarin.She initially presented for evaluation of worsening abdominal wall necrotic [...]

Case Presentation: A 24-year-old man without significant past medical history presented to the hospital by EMS after a syncopal event at the gym while running on a treadmill. On admission, a routine syncope work-up was negative, including a normal basic metabolic panel, electrocardiogram, and telemetry monitoring. Given the patient’s unclear initial evaluation and concern for [...]

Case Presentation: This is the case of a 51-year-old male without prior medical or psychiatric history who developed altered sensorium, cognitive dysfunction, mutism and disorganized behavior of 3 weeks of evolution causing severe impairment over his ability to self-care. He was transferred to our institution from a psychiatric hospital since he underwent 2 weeks of [...]

Case Presentation: A 73 year old male with a history of hypertension and osteoarthritis presented to the hospital with progressively worsening back pain. He has chronic back pain, but suddenly woke up and noticed a difficult time walking and standing, resulting in a fall. His symptoms were associated with subjective fevers, chills, and diaphoresis. Vital [...]

Case Presentation: 60-year-old woman with a twelve-year history of presumed gastroparesis of unclear etiology, was admitted for worsening chronic abdominal pain, nausea and vomiting with unintentional weight loss of over 80 pounds over a year. Evaluation included normal laboratory findings and abdominal imaging. Upper endoscopy showed mild mucosal erythema with normal biopsies of the stomach. [...]