Case Presentation: A 49 year-old woman with end stage renal disease on peritoneal dialysis (PD) for the past year, presented with progressively worsening abdominal pain, fevers, and nausea. This was her second presentation as she had been treated with antibiotics for presumed culture-negative PD-catheter-associated bacterial peritonitis three weeks earlier without improvement. Admission vital signs and [...]

Case Presentation: A 70-year-old Vietnamese gentleman without a significant past medical history was admitted to the hospital after a mechanical fall. Apart from facial pain related to the fall, the patient did not report any other symptoms. He was afebrile and hemodynamically stable. His physical examination was unremarkable. During his trauma evaluation, bilateral apical pulmonary [...]

Case Presentation: A 83-year-old woman of Chinese origin with remote history of breast cancer and pulmonary fibrosis of unknown etiology presented to care with one month of fevers, night sweats, malaise, and cough. After three negative acid-fast bacillus (AFB) smears and CT chest showing chronic right apical scarring during hospital admission, she was discharged on [...]

Case Presentation: We present a case of a 77 year old Filipino male with Chronic Kidney Disease Stage 5, Diabetes Type 2, stage I diastolic congestive heart failure and hypertension who presented with dyspnea and abdominal pain in the setting of paradoxical hypercalcemia. On CT chest, the patient had unremarkable lung parenchyma with a large [...]

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 26-year-old man from Haiti with no past medical history was hospitalized with a four month history of intermittent fevers, weight loss, and dyspnea. In the ED, he was found to be febrile, tachycardic, and tachypneic with an oxygen saturation of 88% on room air. Physical exam was significant for bilateral rales on [...]

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 [...]