Case Presentation: A 48-year-old female with no significant medical history presented to an outside hospital with epigastric pain of 3 weeks duration. The pain was constant and severe, associated with nausea, vomiting and a 20 lb. weight loss. Serum lipase was elevated at 1135 U/L (nl 8-78). An Abd US revealed multiple hepatic lesions without [...]

Case Presentation: A 19 year old female presented to the student clinic with fevers up to 103 degrees F recurring daily over a period of weeks. She endorsed diffuse body aches and nausea/vomiting. Two years prior, she was diagnosed with Kikuchi disease, a benign self-limited lymphadenitis, following a lymph node biopsy in Bangladesh. Symptoms at [...]

Case Presentation: A 41-year-old gentleman with history of spinal trauma status post several spinal surgeries and chronic arachnoiditis presented to the emergency department reporting vertigo, generalized weakness, headache, and fever developing over the past two days. On exam he was alert and oriented, with irregularly irregular tachycardia, tachypnea, and a temperature of 39.2°C. Additionally and [...]

Case Presentation: A 19 year old African American male with no significant history presented to the emergency room with complaints of scleral icterus and epigastric abdominal pain after a week of headaches, fatigue and fevers. Exam was significant only for scleral icterus. Admission labs showed hemoglobin 14.3 g/dL, MCV 88.8 fL, platelet count 157 thousand/uL, [...]

Case Presentation: : A 34-year-old female with history of migrainous headaches presented with complains of sudden onset, throbbing type of headache radiating to the back of the ear. This was associated with sudden loss of vision in the right eye. She also mentioned night sweats and unintentional weight loss in the last couple of months. [...]

Case Presentation: A 41-year-old female presented with non-productive cough and worsening exertional shortness of breath for 3 weeks. She denied fever, night sweats, orthopnea, paroxysmal nocturnal dyspnea. There was no history of recent travel, smoking, or illicit drug use. She did not have any significant past medical or family history. On physical exam, there was [...]

Case Presentation: We describe an interesting case of a 59-year-old female patient who arrived unresponsive to ED, with symptoms concerning for acute coronary syndrome(ACS). There was no informant present along with the patient, so very limited information was available about patient’s past medical history or risk factors. EMS personnel who accompanied the patient reported that [...]

Case Presentation: A 20 year old man with history of Systemic Lupus erythematous (SLE) with Lupus nephritis presented to the hospital with cough and hemoptysis for the past few days. He was found to have severe anemia (5.4 mg/dl), thrombocytopenia (52,000/mm3), elevated LDH (829), low haptoglobin (<8), hypocomplentemia (low C3 and C4), schistocytes on peripheral [...]

Case Presentation: 44 year old male with insulin dependent type 2 Diabetes mellitus and hypothyroidism presented with fatigue, weakness, dyspnea on exertion and light headedness for several weeks. He denied bloody stools or melena. Medications included metformin for the last 3 months, levothyroxine, simvastatin, enalapril and detemir insulin. The patient was adherent to his medical [...]

Case Presentation: Our patient is a 69 years old Caucasian female with history of hyperlipidemia, hypertension, diabetes type 2 complicated with ESRD on hemodialysis, and hypothyroidism. Patient presented with symptoms of unstable angina. Lexiscan was abnormal and patient underwent cardiac catheterization which was unremarkable. Pain gradually resolved, and patient was discharged home. One week later [...]