Case Presentation: An 87 year old male with a history HFrEF 35%, BPH, Afib, seizure disorder. He had a recent fall and presented with A-fib with RVR. His creatinine at that time was found to be 5.6 (no baseline creatinine at that time). Renal and bladder ultrasound showed large intravesical mass consistent with bladder mass [...]

Case Presentation: A 51-year-old female presented with a three month history of migratory rash and weakness. Initially, she developed periorbital swelling, eyelid discoloration, and a migrating pruritic erythematous rash. The rash originated on her upper arms and thighs progressing to her chest, back, and face. She reported muscle weakness, most notably an inability to lift [...]

Case Presentation: A 36-year-old man with human immunodeficiency virus (HIV) on antiretroviral therapy presented with an anterior mediastinal mass on computed tomography (CT). A biopsy was not concerning for a malignant or infectious process, and the mass was monitored with routine imaging. Two years later, he presented with neck weakness, diplopia, and dysphagia concerning for [...]

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: An 89 year-old female with hyperlipidemia presented with diplopia, vertigo, and dysarthria. Seven weeks prior to presentation, she developed horizontal diplopia. Four weeks prior, she noted vertigo with no hearing loss, tinnitus, or aural fullness. Two weeks prior, her speech became slurred. She presented to an outside hospital where MRI with contrast was [...]