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: 58 year old African-American female child-care worker with history of GERD presented with symptomatic anemia. She was in her usual state of health until ten days prior to presentation, when she had several days of GI illness consisting of abdominal pain and diarrhea. Her symptoms self-resolved, only with residual mild epigastric abdominal pain. [...]

Case Presentation: A 42-year-old Vietnamese-American gentleman presented to the Emergency Department with generalized fatigue and intermittent dark urine for 1 week and fever, chills, vomiting and loose black stools for 1 day. He denied any rash, joint pain, strenuous exercise, recent travel or trauma, new medications or supplements and tick or mosquito bites. There was [...]