Case Presentation: A 33 year-old female presented to an outside facility with a few days of gradual onset abdominal pain with nausea and vomiting. On presentation, vital signs were notable for tachycardia. Examination showed periumbilical tenderness without rigidity or guarding. Labs were remarkable for leukocytosis and normocytic anemia but normal lipase. CT of the abdomen [...]

Case Presentation: A 38 year-old-male with cirrhosis from hepatitis B and C complicated by recurrent ascites, previous spontaneous bacterial peritonitis (SBP), and recurrent hepatic hydrothorax requiring transjugular intrahepatic portosystemic shunt presented with two days of increasing dyspnea at rest. He had recently been nonadherent with SBP prophylaxis and diuretics. Laboratory findings revealed leukocytosis of 17,500k/uL, [...]

Case Presentation: 68-year-old man presented during summer with two weeks of weakness and shortness of breath. He had associated chills, myalgia, arthralgia, blurry vision, dry mouth, dizziness, dry cough, and dysuria. On initial presentation, he had new-onset atrial fibrillation (AFib) with rapid ventricular response and hypotension prompting admission to intensive care. After treatment with amiodarone [...]

Case Presentation: After suffering a left-sided middle cerebral artery stroke and subsequent right sided weakness, an 85-year-old female fell and sustained a fracture of her right intertrochanteric femur. She initially had an ORIF at an outside hospital, but this subsequently failed and the patient had continued pain. She had repeat x-ray imaging of her femur [...]

Case Presentation: A 75-year-old male with a medical history significant for a distant myocardial infarction, hypertension and type 2 diabetes presented after two episodes of sudden loss of consciousness without prodrome. His echocardiogram showed a normal ejection fraction (EF) and telemetry was unremarkable. He was discharged with a wearable patch for continuous ECG monitoring. After [...]

Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, hyperesthesia, and stiffness. Physical exam revealed well-demarcated cyanosis of the fourth, fifth, and medial third digits extending to the wrist [...]

Case Presentation: A 40-year-old man presents with painful, progressive bilateral vision loss which began two months prior, and was described as the patient feeling as if he were “looking through a straw”. He noted excruciating eye pain, redness, and tearing. Despite work as a tree trimmer, patient denied known trauma. He endorsed a twenty-pound unintentional [...]

Case Presentation: A 53-year-old man with a history of insulin-dependent type 2 diabetes mellitus presented with the complaint of abdominal pain, emesis and poor oral intake for three days. CT scan revealed non-obstructing nephrolithiasis. He was started on continuous IV fluids and pain management. Initial urinalysis revealed glucosuria >1000 mg/dL and negative ketones. Home medications [...]

Case Presentation: A 49 year-old woman with end stage renal disease on peritoneal dialysis (PD) for the past year, presented with progressively worsening abdominal pain, fevers, and nausea. This was her second presentation as she had been treated with antibiotics for presumed culture-negative PD-catheter-associated bacterial peritonitis three weeks earlier without improvement. Admission vital signs and [...]

Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed [...]