Background: Cholangiocarcinoma is an uncommon cancer with a very bad prognosis despite advances made in treatment. Location intrahepatic versus extrahepatic – determines surgical options. In our study, we examined variations in outcomes between patients admitted to the hospital with intrahepatic versus extrahepatic disease. Methods: Data from the National Inpatient Sample (NIS) which is part of [...]

Background: Introduction: Colorectal cancer is the 4th most common cancer in the United States. It is the second most common cause of death in the united states. Despite universal advocacy for screening colonoscopies and early diagnosis, disparities in screening and diagnosis of colorectal cancer exist which affects outcomes. In this analysis, we determine racial disparities [...]

Case Presentation: A 71-year-old African American male presented to the emergency department due to chest pain, fevers and shortness of breath with associated dry cough. The symptoms progressively worsened since onset one month prior to admission. He was HIV negative with a history of Stage IV (T2a N2 M1a) lung adenocarcinoma diagnosed one year ago [...]

Case Presentation: A 40-year-old male presented to the emergency department with complaints of back pain for 3 weeks. He described the pain as aching and circumferential involving the sternum, right ribs, shoulders, and back. His previous medical history was unremarkable and he never had any prior imaging studies. Plain radiographs of the spine did not [...]

Case Presentation: A previously healthy 68-year-old woman presented with three weeks of progressive abdominal and leg swelling. While visiting family in Mexico two weeks prior, she developed an itchy rash on her thighs that spread distally. She denied fever, cough, dysphagia, vomiting, or abdominal pain, but did report a six pound weight loss. Physical exam [...]

Case Presentation: The patient is an 83 year-old Caucasian man with a history of hypertension, tobacco use, and COPD who presented to the emergency department with a four day history of chest pain, shortness of breath, and mild non-productive cough. His chest pain was constant and had no exacerbating or alleviating factors. He denied any [...]

Case Presentation: A 64-year-old male with newly diagnosed adenocarcinoma of the lung 1 month ago presented to a podiatrist due to significant left second toe pain. He was clinically diagnosed with gout and treated with meloxicam. Three days later he returned to the podiatrist due to worsening symptoms and was diagnosed with paronychia and treated [...]

Case Presentation: A 52-year-old male presented for an evaluation of hematuria. The complete blood count, basic metabolic panel and liver function tests were within normal limits. A CT abdomen and pelvis showed an incidental, 1.5 cm lesion in the right hepatic lobe. Following fine needle aspiration biopsy of the lesion, the tissue demonstrated a slightly [...]

Case Presentation: The patient is a 61-year-old male theatre director who presented with chronic diarrhea associated with a 50-pound weight loss, fatigue, and weakness. His past surgical history was notable of a Whipple’s procedure done 10 years ago for a symptomatic duodenal mass causing nausea and vomiting, later found to be benign in nature. Patient [...]

Case Presentation: AH is a 46-year-old female originally from Senegal with a history of unexplained syncope post loop recorder placement who presented with a two-week history of a nonproductive cough and two months of shortness of breath that acutely worsened. CT chest showed multiple large areas of parenchymal disease, predominantly ground glass opacity and peripheral [...]