Case Presentation: A sixty-eight-year-old man was admitted for severe depression with suicidal ideation. He had a history of insulin dependent Diabetes Mellitus, non-obstructive coronary artery disease with a ninety-pack year history of smoking. Physical examination of the right lower extremity revealed shiny skin without any wounds or purulence. Pulses were 1+ in left lower extremity [...]

Case Presentation: A 22 year old man with no past medical history presented to our emergency department with three weeks of nausea, vomiting and abdominal pain. He also reported subjective fevers, hematochezia, hematemesis, oral ulcers, gum bleeding, dark colored urine and 30 pound weight loss over the past month. The patient was not forthcoming with [...]

Case Presentation: 25 year-old female with past medical history of irritable bowel syndrome and asthma was evaluated for one year of watery diarrhea. She reported 3-4 watery bowel movement daily associated with abdominal cramping. No blood reported in the stool. No changes in weight or appetite reported. No fever or chills. She reported symptoms started [...]

Case Presentation: A 93-year-old African-American male with history of CVA, HTN, and dementia presented with a right femoral neck fracture after a same level fall. Vital signs on admission were unremarkable. Physical examination revealed a cachectic male at his baseline mental status. He was admitted and underwent uncomplicated right hemiarthroplasty. On post-operative days 3-5, patient [...]

Case Presentation: A sixty-eight year-old woman presented with two days of confusion and lethargy following two weeks of worsening abdominal pain, nausea and emesis. Medical history was significant for chronic pain, depression, hypertension, and a remote history of alcohol withdrawal seizures. There was no reported dyspnea, cough, or chest pain. She was a one pack [...]

Case Presentation: A 24 year old Afro-Caribbean woman with no medical history presented with intermittent facial swelling of one month, several months of fatigue, anorexia and unintentional weight loss of 65 pounds. The swelling initially involved the lower face with gradual spread to bilateral peri-orbital areas. There was no urticaria, rash, dysphagia, dyspnea or visual [...]

Case Presentation: A 47-year-old African American woman with poly-substance abuse presented with a facial rash, bilateral hand joint pain and painful ulcers to the lower extremities for one week. Physical examination revealed violaceous tender skin lesions on the bilateral helices and right naris. There was mild erythema to the malar area involving the naso-labial folds. [...]

Case Presentation: A 68-year-old man presented with dizziness, blurry vision, and leg paresthesias for one week, which started after a bout of gastroenteritis. Past medical was notable for an MCA stroke at age 40 with residual left-sided weakness. He was a never-smoker and had no risk for carbon monoxide exposure. On exam, patient had a [...]

Case Presentation: A 39-year-old African American nulliparous female with a history of endometriosis and recent outside hospitalization presents with 10 days of acute on chronic lower abdominal pain and dyspnea. On exam, she has a distended abdomen and decreased breath sounds over the right lung. Initial labs are unremarkable including complete blood count, comprehensive metabolic [...]

Case Presentation: A 33 year old male with systemic lupus erythematosus (SLE) complicated by recurrent diffuse alveolar hemorrhage (DAH) presented with ataxia, lethargy, cough, and dyspnea. He had been recently exposed to high intensity immunosuppression for his DAH as it was thought to be secondary to SLE. However, it was later diagnosed as herpes simplex [...]