Case Presentation: A 56 year old female smoker with history of progressive weight loss in the past 6-9 months and changes in urinary frequency for about a month, presented with confusion, generalized weakness, lower extremity edema and dysphagia. Physical examination revealed blood pressure 112/53 mmHg, hear rate 81 bpm, temperature 96.1 F, and 1+ bilateral [...]

Case Presentation: A 63-year-old woman with no significant medical history presented to the ED with three days of fever, confusion, and lethargy. She was responsive to physical but not verbal stimuli. Vital signs included temperature of 38.8C, heart rate of 110 BPM, blood pressure of 107/52 mmHg, with SpO2 of 94% on room air. Her [...]

Case Presentation: A 71 year-old female presented to the emergency department with six weeks of worsening nausea and emesis. Her symptoms were associated with anorexia, 10-pound unintentional weight loss, and urinary incontinence. Past medical history was significant for right-sided breast cancer, status post partial mastectomy and radiation, 25 years prior to presentation. Physical examination showed [...]