Case Presentation: A 25-year-old man with no past medical history presented with five days of rapidly enlarging neck mass. He recently moved from India to San Antonio and noticed an unintentional weight loss of 20 pounds over the past month with a non-productive cough, nausea and vomiting. Denies neck pain, dysphagia and fever. Physical exam [...]

Case Presentation: A 20 year old female with two prior typhoid episodes, presented to the hospital with a three week history of epigastric pain. The patient returned from a one month trip to Bangladesh four weeks prior. She subsequently began experiencing squeezing epigastric pain, subjective fevers, yellow discoloration of her skin, and decreased oral intake. [...]

Case Presentation: A 48 year old female with no significant past medical history presented with acute onset of dysphagia, early satiety, nausea /vomiting and epigastric pain. Epigastric pain and non-bloody non-bilious emesis occurred after each meal. Lab work significant for eosinophilia (absolute eosinophil count 2,084/microL, reference < 500/microL ). CT abdomen and pelvis significant for [...]

Case Presentation: 63M with severe primary closed angle glaucoma, DMII, pemphigus vulgaris (PV) presents to ED with skin lesions over most body. Functional status impaired due to lower extremity edema, oral lesions resulting in odynophagia and malnutrition. PV recently diagnosed via skin biopsy on H&E stain without immunofluorescence following new blisters beginning on tongue, hard [...]

Case Presentation: A 57-year-old African-American male, with past medical history of nonischemic cardiomyopathy, moderate aortic insufficiency, HTN, and cocaine abuse presented to the emergency room with complaints of shortness of breath (SOB), and chest pain (CP). He admitted to using cocaine on his birthday party, which was 5 days ago. After using cocaine he started [...]

Case Presentation: This is a 35-year old Indian female, living in the United States for the past several years, presented with chronic mid-epigastric and left upper quadrant pain radiating to the back, nausea, and bilious vomiting. She complained of oily loose stools for the past 2 months. Her medical history is notable for insulin-dependent diabetes [...]

Case Presentation: 33 yo Caucasian female with a PMH of Graves’ thyrotoxicosis and recurrent acute pancreatitis was admitted for suspected pancreatitis. She presented with acute onset epigastric pain radiating to back. She denied any associated symptoms. Exam showed yellowish discoloration of skin and epigastric tenderness. Recent ultrasound was negative for cholelithiasis or gallbladder wall thickening [...]

Case Presentation: 42 year old male presented to the hospital with non-exertional left-sided chest pain that was radiating to his left jaw. His past medical history was significant for gastro-esophageal reflux disease and generalized anxiety disorder. He had a one year history of palpitations, headache, and sweating associated with minimal blood pressure fluctuations. These episodes [...]

Case Presentation: A 33-year-old woman with metastatic breast cancer and recent subtotal resection of a suprasellar brain metastasis presented with subacute fatigue and confusion a month after her surgery. She was oriented only to self, normotensive, with an exam notable only for mild left sided weakness, unchanged from her post-operative discharge. Admission laboratory data showed [...]

Case Presentation: A 20-year-old man with type 1 diabetes, hypothyroidism, and hypomagnesemia presented for evaluation of hypocalcemia. Patient reported progressive lack of motivation and depression. He developed lower extremity swelling and abdominal distention over the past 3 months. He denied fatigue, heat or cold intolerance, weight change, polydipsia, polyuria, chest pain, palpitations, shortness of breath, [...]