Case Presentation: A 70 year old WM with a history of myasthenia gravis on prednisone for about 1 year prior to admission was admitted with fever, rash and pyuria. Two weeks prior to admission he was started on Azathioprine as his prednisone was being tapered. About 5 days PTA he developed a pustular rash, transient [...]

Case Presentation: Significant alcohol consumption can lead to a variety of alcoholic liver diseases ranging from alcoholic fatty liver disease to alcoholic hepatitis. Here, we discuss an atypical presentation of alcoholic hepatitis in a patient initially thought to have a hematologic malignancy. Our patient was a 28-year-old Cantonese-American man presenting with one month of fevers, [...]

Case Presentation: A 63-year-old Hispanic man from Mexico, with a history of hypertension and obesity, presented in September to an outside hospital with high fevers. He worked as a truck driver primarily in Arizona. He had a witnessed seizure and developed persistent altered mental status. The patient rapidly decompensated into septic shock requiring vasopressors, and [...]

Case Presentation: A 53-year-old African American woman with a history of systemic lupus erythematosus, refractory hypertension, and cerebrovascular accident, was found unresponsive and hypotensive at home. On presentation, the patient was drowsy but arousable and oriented to person, place and time. Vitals were notable for sinus bradycardia (50s) and hypotension (SBP in 90s). She was [...]

Case Presentation: A 53-year-old Filipino woman with a history of lupus nephritis status post renal transplantation presented with 1 month of the right upper quadrant (RUQ), lower abdominal pain and a new fever. Her RUQ pain radiated to her back and worsened after meals, while her lower abdominal pain had no clear triggers. She reported [...]

Case Presentation: A 21-year-old previously healthy man presented to an outside hospital with one day of confusion without any other localizing symptoms. He reported taking a supplement called Synergy, an androgen receptor modulator, for six months, and doxylamine, a first generation anti-histamine, for one-two days. He denied alcohol consumption or other substances. Initial vital signs [...]

Case Presentation: A 49-year-old male presented with progressive lower extremity edema, exertional dyspnea and orthopnea for three weeks. Past medical history significant for non-ischemic cardiomyopathy, systolic heart failure and moderate aortic regurgitation (AR) diagnosed one year ago. Physical exam was significant for jugular vein distention, bibasilar crackles, loud 3/6 diastolic murmur in the aortic area [...]

Case Presentation: An 80-year-old Japanese woman presented to our hospital with dyspnea in the sitting and standing positions. Two months prior to her admission, she had presented to another hospital with multiple vertebral compression fractures. After being discharged from the hospital, she developed dyspnea in the sitting and standing positions. She also reported an episode [...]

Case Presentation: A 21-year-old female with a history of Type 1 Diabetes presented with a one day history of lower abdominal pain. The pain was most pronounced in bilateral lower quadrants and suprapubic regions. She had a Kyleena® intrauterine device (IUD) placed for dysmenorrhea, five months prior to presentation. She denied any sexual activity following [...]

Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was [...]