Case Presentation: A 42-year-old female who initially presented with rectal pain in Jan 2016 and had an anoscopy in March 2016 which showed malignant appearing right inferior anorectal mass. Radiology including CT and PET scans did not show any evidence of metastatic disease. The pathology confirmed high-grade small cell NET with positive markers and Ki-67 [...]

Case Presentation: A 36-year-old male with a medical history significant for IV heroin abuse and bipolar disorder presented to the hospital with confusion, fever and chills. Initial vitals were concerning for septic shock, and the patient was promptly started on broad-spectrum antibiotics and aggressively fluid resuscitated following sepsis protocols. Physical examination was concerning for a [...]

Case Presentation: A previously healthy 50-year-old man presented with 4 days of abdominal distension and subjective fevers at home. He was from rural Guatemala originally, now moved to Irvine, California. He denied any noxious habits including alcohol consumption, other travel history, or occupational exposures. On presentation, vital signs were stable except for slight tachycardia to [...]

Case Presentation: 68 y/o female presented with symptoms of headache, lightheadedness, visual changes, nausea and fatigue have been ongoing for 7 years but headache specifically has been more persistent over the last few months. She reported the headache to be localized to the left side, temple, behind the eye and sometimes across the front and [...]

Case Presentation: 44 year-old male with ESRD on HD complicated by tertiary hyperparathyroidism, possible calciphylaxis on treatment with sodium thiosulfate, possible adrenal insufficiency on steroids, antithrombin III deficiency with prior pulmonary and splenic infarcts on Coumadin who developed a diffuse cutaneous skin eruption during a recent admission after being on antibiotics for possible pneumonia. He [...]

Case Presentation: Our patient is a 39 year old G2 P0111 female with PMH of Type 1 diabetes mellitus and Hashimoto’s thyroiditis, s/p NSVD at 34 weeks due to previous pre-eclampsia (occurring 1 month prior to admission), who complained of acute dyspnea on exertion, orthopnea, lower extremity edema, and a 1-month history of fatigue and [...]

Case Presentation: A 59-year-old male with past medical history of diabetes mellitus and hypertension presented to the ED with complaints of a sharp, pulsatile pain in the left temporal region and jaw that started one week prior and became progressively more severe. This was associated with nausea, vertigo, hearing loss, otalgia and a painful, well [...]

Case Presentation: A 37-year-old African American female with history of colitis presented with dyspnea and cough. Workup revealed a pleural-based left upper lobe mass and mediastinal lymphadenopathy. She denied exposure to mold, fungus, chemicals, inhalants, farms, or birds. Pathology was inconclusive but revealed poorly differentiated granulomas. She was given a diagnosis of sarcoidosis (without associated [...]

Case Presentation: A 43 year old Asian female with no significant past medical history presented to the hospital with complaints of cough and progressively worsening shortness of breath for 1 year. Patient denied any family history of lung diseases, nonsmoker, no significant smoke exposure, no recent travel. Patient works in a nail salon, and reports [...]

Case Presentation: A 35-year-old healthy male veteran presented to the emergency room with painless jaundice. Three days prior to presentation, the patient noticed a yellowing of his eyes, but was otherwise asymptomatic. His history was notable for traumatic brain injury, PTSD, heterozygous gene mutation for hemochromatosis, and alcohol abuse with prior elevations in his aminotransferases [...]