Case Presentation: 11 y/o M presenting with 2 months of worsening headache and 2-3 days of rapidly progressive blurry vision. Patient initially presented to his school nurse after complaining in class of blurry vision. He was seen by a local optometrist and then transferred to the emergency department for further evaluation. Ophthalmologic evaluation in the [...]

Case Presentation: A 37-year-old African American female with history of colitis presented with dyspnea and cough. Workup revealed a pleural-based left upper lobe mass and mediastinal lymphadenopathy. She denied exposure to mold, fungus, chemicals, inhalants, farms, or birds. Pathology was inconclusive but revealed poorly differentiated granulomas. She was given a diagnosis of sarcoidosis (without associated [...]

Case Presentation: A 69 year-old woman with recently diagnosed endometrial cancer presented with two weeks of dysphagia and progressive upper extremity weakness. On exam she was dysarthric with oral mucous retention and poor dentition; she had left supraclavicular lymphadenopathy. Neurologically, cranial nerves were intact except shoulder shrug, and shoulder girdle strength was 3+/5 bilaterally with [...]

Case Presentation: We present a case of a 27-year-old male with no significant past medical history who presented with a three week history of fever, sore throat, persistent non-productive cough, arthralgia, myalgia, as well as a diffuse body rash.A month prior to this presentation, he had seen his primary provider for a lump that he [...]

Case Presentation: Mr. J is a 47 year old male with a history of Acquired Immune Deficiency Syndrome (CD4 count of 183), chronic kidney disease stage 3 (baseline creatinine of 1.5 mg/dL) and Castleman Disease (CD, previously treated with rituximab) who presented initially with complaints of fevers, dyspnea, generalized weakness, and swelling to the lower [...]

Case Presentation: A 41-year-old male with past medical history of ulcerative colitis (UC) currently on vedolizumab infusions every 8 weeks presented to the hospital with right lower quadrant abdominal pain. The patient endorsed nausea, vomiting, and 15-20 loose, bloody bowel movements per day. Upon admission, the patient was afebrile, normotensive, and non-tachycardic. Physical exam revealed [...]

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: 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 [...]