Case Presentation: A 36-year-old man presented with 10 days of progressive rash that started on his abdomen. The lesions grew, developed a more intense violaceous color, and spread to his lower back, buttocks, forearms and lower legs. The rash spared his upper torso, upper arms, neck, face and palmar/plantar surfaces. He also reported chills, nausea, [...]

Case Presentation: A 56-year-old healthy man who presents with three days of fatigue and bilateral thigh pain. He was born in Puerto Rico but lives in Boston and had no recent travel. He denies alcohol or drug use. He works as a cook at an urban restaurant. Admission vitals and physical exam are unremarkable. Initial [...]

Case Presentation: A healthy 50-year-old woman with no past medical history was transferred from an outside hospital for intermittent, progressively worsening abdominal pain of six weeks duration. Her pain was sharp, stabbing, and located in right upper quadrant. She had been given doxycycline previously to treat for atypical infections. However, pain episodes continued to worsen [...]

Case Presentation: A 68 year old man with past medical history of rheumatoid arthritis with recent travel to Mexico was admitted after clinically worsening at home roughly a week after a previous 10 day admission for intermittent high fevers. The patient had had a prostate biopsy 2 weeks prior to his first admission and he [...]

Case Presentation: 87 year old woman with a medical history of coronary artery disease, congestive heart failure, raynaud’s syndrome, sicca syndrome and hyperlipidemia was brought in after choking on food. Her hospital course was complicated by a brief episode of respiratory failure requiring intubation, central line placement, aspiration pneumonia, CHF exacerbation, lower GI bleed, lumbar [...]

Case Presentation: 63-year-old woman with 80-pack year smoking history presented with right flank pain for two days and weight loss of 35lbs in 6 months. Chest X-ray as a part of the workup was found to have a mass like opacity in left lung. Subsequent CT scan of chest and abdomen/pelvis showed a left upper [...]

Case Presentation: Twenty three year old female presented with complaints of severe headache and dizziness since past 2 weeks. Her past medical history was significant for SLE, heart failure with reduced ejection fraction and lupus pericarditis. CT head showed possible left cerebellar stroke of indeterminate age and hence was admitted for the stroke workup. Few [...]

Case Presentation: A previously healthy 39-year-old male with a bicuspid aortic valve and mitral valve prolapse presented with three months of intermittent bilateral retro-orbital headache, abdominal discomfort, subjective fevers, night sweats, and 10-kg weight loss. Two weeks prior to admission, he developed acute left-sided vision loss and left-sided weakness, and was diagnosed with right parietal [...]

Case Presentation: Mr Z is a 54 year-old gentleman with no past medical history. He presented with chronic headache for 5 months that occurred daily, worst over the right frontal region, radiated down his neck, and was aggravated by neck movements. There was associated right ear tinnitus and hearing loss. He was evaluated 3 months [...]

Case Presentation: A 47-year-old African American female with a past medical history of complex regional pain syndrome (CRPS), chronic migraines, and history of transient ischemic attack was admitted for elective lidocaine infusion for generalized pain secondary to CRPS. On hospital day four of infusion, the patient developed substernal chest pain and shortness of breath. An [...]