Case Presentation: A 69-year-old woman presented with three days of progressive dyspnea on exertion and pedal edema. She was admitted to the hospital for an acute decompensated heart failure exacerbation. She had a history of non-ischemic dilated cardiomyopathy with severe biventricular systolic dysfunction and bilateral carpal tunnel syndrome, both diagnosed two years prior. At that [...]

Case Presentation: A 40-year-old man presented with complaints of right upper abdominal pain and malaise. He reported no fevers, chills, or change in pain with food intake. He has a history of Sickle Cell Disease (HgbSS) and cholelithiasis. Physical examination revealed icteric sclera and tenderness to palpation in the right upper quadrant. Labwork returned with [...]

Case Presentation: A 79-year-old woman presented with three days of vomiting with associated sharp epigastric pain. She endorsed three months of progressively decreased appetite, early satiety, and weight loss. No family or personal history of cancer was reported. Vital signs and physical exam were benign. Lab tests were unremarkable. CT of the abdomen/pelvis obtained in [...]

Case Presentation: A 62 year-old man presented with altered mental status. Twelve days prior to presentation, he developed a headache, dizziness, decrease in appetite, and general malaise. He reported an associated right-sided facial droop and weakness. He endorsed significant right eye pain and headache. He also had a 20-30 lb weight loss over the last [...]

Case Presentation: A 34-year-old woman presented with three months of worsening abdominal pain resulting in decreased oral intake and 30-lb weight loss. Over the prior month, she also developed altered mental status. The patient had a positive tuberculin skin test (TST) in the past year with no evidence of pulmonary disease on chest imaging. She [...]

Case Presentation: A 49-year-old woman presented with a 2-week history of malaise, nausea, emesis, and lightheadedness. She reports she last felt normal 3 months prior when she started noting progressive weakness. There was associated shortness of breath, diaphoresis, and lightheadedness started on the day of presentation. Hemoglobin returned at a level of 3.8 g/dL, hematocrit [...]

Case Presentation: A 52-year-old man with a history of cutaneous T-cell lymphoma stage IVb and T-lineage acute lymphoblastic lymphoma admitted for fever and neutropenia. On previous admission for induction chemotherapy he developed oral mucositis, clostridium difficile colitis treated with oral vancomycin, and a lower extremity deep vein thrombosis treated with enoxaparin. Readmission presentation included fever, [...]

Case Presentation: A 65-year-old man with a history of opioid use disorder and non-ischemic cardiomyopathy with an implantable cardioverter-defibrillator (ICD) presented after witnessed syncope. The son witnessed shocks from the ICD. Interrogation of the ICD revealed multiple episode of polymorphic ventricular tachycardia. Upon presentation, he was somnolent with no focal neurologic deficits. Laboratory evaluation showed [...]

Case Presentation: A 43-year-old incarcerated man presented with 2 weeks of abdominal pain associated with nausea, emesis, and constipation. He reported subjective fevers, night sweats, and a 25-pound weight loss over the past 2 months. He had a history of germ cell testicular cancer, venous thrombosis, and leprosy. His leprosy treatment was complicated by reversal [...]

Case Presentation: A 64-year-old woman with essential thrombocytosis presented with dyspnea. Clinical examination demonstrated a diagnosis of acute congestive heart failure that was confirmed by cardiomegaly on chest X-ray and an elevated brain natriuetic peptide. Chest CT excluded pulmonary embolism. She responded well to diuresis and her dyspnea resolved. A peripheral smear revealed thrombocytosis with [...]