Case Presentation: A 39-year-old Hispanic man presented with four weeks of dry cough. The cough was associated with minimal dyspnea on exertion, low grade intermittent fevers, back pain and pleuritic chest pain related to frequent coughing, and recent unintentional weight loss of 20 pounds over 2 months due to anorexia. Patient denied dyspnea at rest, [...]

Case Presentation: A 40-year-old man presented to the Emergency Department with fatigue, progressive shortness of breath, fever and night sweats for three months. During this period, he had episodes of blurred vision and photosensitivity. A diagnosis of Vogt Koyanagi Harada uveitis was made following an ophthalmologic assessment. He was treated with prednisone 40mg daily. Physical [...]

Case Presentation: 61-year-old woman history of type 2 diabetes mellitus presented to medicine clinic with complaint of rash on her face and legs. Exam revealed an erythematous rash over both ear lobes, arms, and extensor surface of both knees. There was no mucocutaneous involvement and no palpable purpura. Drug reaction was suspected, therefore tramadol and [...]

Case Presentation: A 26 year-old female with past medical history of Type I Diabetes Mellitus (DM), presented to the emergency room with acute onset of severe myalgias. Vital signs were normal. Her exam was notable for severe tenderness to light palpation of the anterior bilateral quadriceps and bilateral trapezius muscles, along with severe immobility secondary [...]

Case Presentation: We describe a previously healthy 24-year-old woman who presented with vesiculobullous lesions raising concern for Stevens-Johnson syndrome (SJS) who was subsequently diagnosed with bullous lupus as an initial manifestation of SLE. 24 year old female with PMH of anxiety and depression presented with painful pruritic bullous rash for 2-3 weeks. Blisters appeared first [...]

Case Presentation: A 71-year-old man with left pelvic kidney and complicated genitourinary history underwent a subtotal cystectomy with ileal conduit placement. Post-operative course was unremarkable. Two days after discharge, he was admitted with fever and abdominal pain. Physical exam showed purulence from the stoma. CBC demonstrated 11,500 WBC with 8300 neutrophils and 800 eosinophils. Urine [...]

Case Presentation: A 71-year-old African American male presented to the emergency department due to chest pain, fevers and shortness of breath with associated dry cough. The symptoms progressively worsened since onset one month prior to admission. He was HIV negative with a history of Stage IV (T2a N2 M1a) lung adenocarcinoma diagnosed one year ago [...]

Case Presentation: A 68 year-old-woman with right upper lobe non-small cell lung cancer on chemotherapy presented with shortness of breath. A CT scan of the chest prior to admission revealed a right hilar mass encasing and narrowing the distal superior vena cava (SVC). Her exam was notable for distended neck veins and diminished breath sounds [...]

Case Presentation: A 43 year-old-woman with no known medical history presented with two months intermittent fever, cough, pleurisy, hematuria, and weight loss. On exam she had diffuse crackles and lower extremity edema. The patient was intubated for respiratory distress. Laboratory workup revealed acute anemia and urinalysis consistent with nephritic syndrome. Chest x-ray showed bilateral diffuse [...]

Case Presentation: A 28 year old woman with a history of metastatic adenocarcinoma and peritoneal carcinomatosis with partial bowel obstruction presented with 6 days of progressive nausea and vomiting. The patient also reported chest pain that was associated with retching and mild shortness of breath. She experienced change in vocal quality over the past few [...]