Case Presentation: A 53 years old woman presented to the outside hospital with altered mental status. She was found to have acute liver failure on lab investigations and was transferred to our institution for further work up and management. Patient had significant past medical history of scoliosis, COPD, Bipolar disorder and recent motor vehicle accident [...]

Case Presentation: We report the case of a 43-year-old man who presents to our institution with recurrent episodes of dizziness, headaches and syncope. He had a history of uncontrolled hypertension that was diagnosed as a teenager. His admitting blood pressure was 174/103 mmHg and he had a heart rate of 108. On physical exam, he [...]

Case Presentation: A 36 year old female, with known ileocolonic Crohn disease, status post total colectomy with end ileostomy, maintained on Infliximab and Azathioprine, presented with one day history of subjective fevers and fixed, non-progressive, abdominal wall rash. Two days prior to presentation she was started on Topiramate and Celecoxib for headaches and joint pain [...]

Case Presentation: A 21-year-old man presented with two weeks of progressive dyspnea. He denied chest pain, lower extremity edema, orthopnea, melena, hematochezia, hemoptysis, cough, or fever. He had a previous presentation with similar symptoms of unknown etiology a few weeks before treated with steroids, blood transfusions, and antibiotics with improvement in symptoms. He was on [...]

Case Presentation: A 24-year-old Caucasian man with no significant medical history presented with sudden onset of several episodes of bright red blood per rectum. He denied use of any NSAIDs and had no family history of inflammatory bowel disease. He reported having around 7 episodes of bright red bowel movements and a syncopal episode. He [...]

Case Presentation: A 25-year-old African American male presented with complaints of headache and acute painful vision loss in his left eye. He had stable vital signs. On exam, he had 20/20 vision in his right eye with intact visual field and 20/400 vision in his left eye with superior temporo-nasal visual field loss. Fundoscopic exam [...]

Case Presentation: A 25-year-old man presented with two days of malaise, anorexia, nausea, subjective fever and yellowing of his eyes. He denied travel out of the country, IV drug use, and drank alcohol sparingly. Vitals were normal. Physical exam revealed scleral icterus, jaundice, and a normal abdominal and mental status exam. Labs revealed an AST [...]

Case Presentation: 73-year-old male with past medical history of seizure disorder, non insulin dependent diabetes mellitus, hyperlipidemia presents for evaluation of pain and swelling of right lower extremity, found to have deep venous thrombosis involving multiple veins of right lower extremity, occlusive in nature. Past medical history significant for two similar episodes of VTE (venous [...]

Case Presentation: A 44 year-old HIV-positive man on HAART with a CD4 count of 340 cells/mm3 and a history of primary syphilis treated with penicillin G benzathine presented to the ophthalmology clinic with five days of right eye redness, lacrimation, blurred vision and floaters. Examination of right eye revealed conjunctival injection and eyelid edema. Visual [...]

Case Presentation: A 29 year-old woman presented with three weeks of headache on a background of headaches for the last five months associated with nausea, vomiting, and photophobia. She now developed blurry vision, diplopia, and dizziness. She denied fevers, neck stiffness, focal weakness or numbness, bowel or bladder incontinence, dyspnea, recent travel, or sick contacts. [...]