Case Presentation: A 66 year-old woman with a past medical history of atrial fibrillation and chronic kidney disease secondary to lupus nephritis status post direct donor renal transplant 10 years ago presented with blurry vision in her right eye and aphasia. Patient was on mycophenolate and tacrolimus for immunosuppressive therapy. CT head showed a mass [...]

Case Presentation: A 69-year-old lady with a history of Psoriatic Arthritis on Methotrexate (MTX) and CKD stage III was admitted to the hospital with mucositis and leukopenia. Sixteen days prior to the admission she was prescribed Trimethoprim-Sulfamethoxazole (Bactrim) for UTI. A week after that she presented to ED and was discharged with impression of Hand, [...]

Case Presentation: A 24 year old, Chuukese-speaking woman visiting the United States from Micronesia, with no known past medical history, presented with complaint of 24 hours of acute epigastric pain. Patient was on no medications. Vital signs: temperature 36.4 degrees C, pulse 65, respirations 16, blood pressure 100/51. Exam showed mild epigastric and right upper [...]

Case Presentation: Introduction:Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that most commonly affects younger women. Late onset SLE is relatively rare and represents a specific subgroup. Laryngeal involvement in SLE is uncommon and has a wide range of disease severity. Case: A 68 year old female patient with history of diabetes mellitus type [...]

Case Presentation: A 39-year-old Bulgarian man, recently diagnosed with non ischemic cardiomyopathy was transferred to our hospital due to upper gastrointestinal bleeding. The patient reports seven months of intermittent hematemesis that worsened after two significant episodes of vomiting bright red blood. The patient became hemodynamically unstable in spite of aggressive fluid resuscitation and blood transfusion, [...]

Case Presentation: A 57-year-old Hispanic man with a past medical history of essential hypertension and nephrolithiasis, presents to the emergency room with a witnessed syncopal event lasting less than a minute. He also refers a two day history of subjective fever and dysuria associated with nausea and anorexia. Further review of systems was unremarkable. He [...]

Case Presentation: A 38 year old Hispanic male was admitted to the hospital with a four day history of fever, headache, shortness of breath and intermittent left forearm and abdominal rash. All signs and symptoms appeared during the administration of vancomycin and ceased after a few hours of finishing the infusion. His history was significant [...]

Case Presentation: A 77 year old man with adenocarcinoma of the lung s/p chemotherapy and radiation presented to the Orthopedics service with hip pain & a left femoral lytic lesion.Soon after his IR-guided femur biopsy, medicine consult was called for ? cellulitis. Patient had new left 2nd toe pain, ankle pain, & knee pain, with [...]

Case Presentation: A 66-year-old gentleman presented to the ER with complaints of worsening right lower extremity pain and weakness for two weeks. Vital signs were notable for fever, tachycardia, and hypotension. Initial laboratory data was significant for leukocytosis with a chest radiograph suggesting right lower lobe pneumonia. Patient was treated for sepsis with broad-spectrum antibiotics [...]

Case Presentation: A 45-year-old woman presented to the Emergency Room with complaints of influenza-like symptoms and neck stiffness for a duration of about one week. Initial laboratory data was significant for acute anemia, thrombocytopenia, transaminitis and elevated inflammatory markers (ferritin, LDH, and D-dimer). Physical exam was significant for a truncal, maculopapular rash with extension to [...]