Case Presentation: A 54-year-old male with a history of Roux-en-Y gastric bypass surgery 12 years prior presented to the ED after labs showed a new pancytopenia from eight months prior. He reported fatigue but denied fevers, weight loss, dyspnea, bleeding, or recent infections. Medical history was notable for myocarditis 20 years ago and cholecystectomy 1 [...]

Case Presentation: A 70yo female with bipolar disorder and type 2 DM on metformin presented to the hospital with altered mental status, nausea/vomiting and diarrhea for 3 days. Per report the patient had self-administered laxatives and had consumed expired deli meat. On presentation, the patient was obtunded with at blood glucose of <10 and the [...]

Case Presentation: NA is a 24 yo African American female who presented with severe oral and genital ulcers with pain and inability to eat or speak. She started getting oral ulcers at age 4 with flares every 3 months, resolving quickly after prednisone. Her genital ulcers started at age 12, but were not as frequent [...]

Case Presentation: A 66-year-old man with history of hypertension, gastroesophageal reflux disease, and hyperlipidemia presented with jaundice and one week of diarrhea with occasional hematochezia. In addition, he noted dark urine, decreased PO intake and appetite. On exam, he was jaundiced with scleral icterus. Lab work revealed acute kidney injury with initial creatinine level of [...]

Case Presentation: A 22-year-old Hispanic male presented with a 4 day history of rectal and abdominal pain. He denied any previous medical history. He also noted three months of productive cough, pyrexia, chills, night sweats, fatigue, and weight loss. Physical examination revealed right lower quadrant tenderness accompanied by abdominal rigidity and involuntary guarding. The patient declined digital rectal examination. [...]

Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a gluteal abscess and was prescribed levofloxacin. Two days later, he began to experience twitching of his face and jerking of [...]

Case Presentation: A 30-year-old African American man with no prior medical history presented with two weeks of sharp lower back pain radiating to the left flank and leg with associated tingling. He also reported night sweats, chills, and subjective fevers during this time. He denied recent weight loss, bowel and bladder dysfunction, IV drug use, [...]

Case Presentation: Ms. T.J. is a 47-year-old female with a past medical history consisting of migraines and tobacco use who presented with headache. 6 weeks prior to admission, the patient had a sudden onset of severe headaches. The headaches would differ in severity. She described having a constant headache with a dull ache located at [...]

Case Presentation: A 43-year-old woman with controlled hypothyroidism presented to her primary care physician for evaluation of one-month of progressive fatigue, dizziness, and “disconnected” feeling. She noted decreased appetite leading to a twenty-pound weight loss. Following a benign physical examination, lab work demonstrated a striking macrocytic anemia with hemoglobin at 5.7 g/dL and mean corpuscular [...]

Case Presentation: We present the case of a 42-year-old man in otherwise good health who was admitted to our hospital with several days of fevers, ear pain, hearing changes, and vertigo. The patient initially presented to his primary care provider with several days of subjective fever and left ear pain. Examination revealed edema and erythema [...]