Case Presentation: A 52-year-old male presented to the emergency department multiple times the month prior to admission with progressively worsening right ankle and wrist pain, generalized myalgia, fatigue and worsening hoarseness of voice. His past medical history was notable for acute lymphoblastic leukemia (in remission for 2 years) complicated by aspergillus pneumonia. On the presentation [...]

Case Presentation: A 51- year old male with a past medical history of cirrhosis due to sarcoidosis, was admitted with worsening left lower extremity pain and swelling for two days. He remembered a pop in his left leg two days ago after performing squats followed by severe left lower extremity pain the morning after. Additionally, [...]

Case Presentation: An 86-year-old woman with history of EBV encephalitis four years prior presented for altered mental status and emesis in September. Previously, the patient was able to perform all activities of daily living. A week prior to presentation, patient developed a cough and was noted to have slow mentation. Exam was notable for fever [...]

Case Presentation: A 62-year-old woman presented with a three week history of worsening shortness of breath. She endorsed a dry non-productive cough of several days without fever, chills, or other symptoms. Review of systems was negative for hemoptysis. Past medical history includes HFpEF, hypertension, and chronic atrial fibrillation on apixiban. On presentation, her temperature was [...]

Case Presentation: A 57 year old male with HIV/AIDS was transferred to our hospital for acute onset of lethargy and incoherent speech. He intially presented with a few weeks of headaches, slurred speech, and intermittent confusion, and was diagnosed with toxoplasmosis. He was started on atovaquone and sulfadiazine for taxoplasmosis and levetiracetam for seizure prophylaxis, [...]

Case Presentation: A 74 year old male with prostate cancer with spinal and epidural metastases and recently treated pneumonia was transferred to our hospital for initiation of palliative radiation. His hospital course was complicated by acute kidney injury and atrial fibrillation that delayed initiation of radiation. During the course of his treatment he developed worsening [...]

Case Presentation: A 43-year-old Caucasian woman with acute pancreatitis due to familial hypertriglyceridemia was admitted with triglyceride levels of 8942 mg/dl (Fig 1). She had had three past hospitalizations related to the hypertriglyceridemia, including a similar admission for pancreatitis and one for myocardial infarction. While she had previously been prescribed anti-lipemic medications, she had to [...]

Case Presentation: IntroductionHistoplasmosis is a fungal infection caused by histoplasma capsulatum, a dimorphic fungus endemic in central and eastern United States. Even in immunocompromised patients, the reported incidence of CNS manifestations in disseminated histoplasmosis is only about 5-10%. This report presents an unusual case of recurrent histoplasma meningitis in a patient with prior history of [...]

Case Presentation: A 19 year-old woman without significant past medical history was admitted to the medicine service with shortness of breath, nausea, and severe edema. Over the past 2-3 months, she had experienced worsening diffuse swelling and associated 30-lb weight gain. In the few days prior to admission, she had increased cough and difficulty breathing [...]

Case Presentation: A 65 year-old man was admitted overnight from the Emergency Department to a hospitalist service with oliguric acute kidney injury and abdominal pain. Past medical history includes a recently diagnosed metastatic melanoma. He had a very large tumor burden throughout the liver and abdomen and had not undergone any treatment yet. Physical examination [...]