Case Presentation: A 73-year-old female with PMH of iron deficiency anemia, laparoscopic cholecystectomy, and hernia repair had received iron transfusions as well as blood transfusion. Despite which, her hemoglobin remained low, 7.3gm/dl. She was fatigued, but denied abdominal pain, black stool, vomiting blood, fevers or chills. She had an upper endoscopy that was unremarkable as [...]

Case Presentation: A 44 year old woman with a history of Roux-En-Y gastric bypass (RYGB), hypothyroidism, and morbid obesity, presented with one day of confusion and somnolence. In the emergency department, she was unresponsive to voice with an initial Glasgow Coma Score of 9. Her temperature was 94 F, pulse 94 beats per minute, blood [...]

Case Presentation: A 32-year old woman with past medical history significant for myasthenia gravis (MG), polymyositis, and systemic lupus erythematosus (SLE) was admitted to the hospital for evaluation of non-sustained ventricular tachycardia (NSVT) discovered during 72-hour Holter monitoring. Patient had been experiencing palpitations with heart rate up to 200 beats per minute recorded on her [...]

Case Presentation: A 47-year-old previously healthy male was referred from another hospital with fever, dry cough, abdominal pain and diarrhea for about one month. He also had unintentional weight loss of 33 lbs and abdominal distention over 2 months. He was originally from Nigeria and had moved to Japan 10 years ago. A physical exam [...]

Case Presentation: Our patient was a 70-year-old male with a past medical history of HTN, HLD, COPD, and CAD status-post CABG. He originally presented with hypotension, new onset weakness, dyspnea, orthopnea and bilateral lower extremity pitting edema. As part of his work-up, a CT scan of the abdomen and pelvis was ordered, which revealed an [...]

Case Presentation: There has been an increasing number of cases of e-cigarette, or vaping, product use associated lung injury (EVALI) in the United States; however, much is still unknown about the disease. Thus far, most cases have occurred in individuals under the age of 35 with a history of tetrahydrocannabinol (THC) vaping. A 32 year-old [...]

Case Presentation: A 19-year-old, 22-week pregnant woman with no significant past medical history presented with cough, fever, myalgia, abdominal pain and diarrhea for two weeks. On admission, she was febrile to 101.2 F and tachycardic with HR of 110-120 bpm. Physical exam revealed right upper quadrant (RUQ) tenderness upon palpation and one vesicular genital lesion. [...]

Case Presentation: Case of 53 years old female with a past medical history of rheumatoid arthritis, coronary artery disease and peripheral vascular disease who presented with worsening postprandial right upper quadrant abdominal pain. Pain was described as intermittent, sharp, and stabbing. The patient also reported a 20-30 pounds’ unintentional weight loss over 6 months and [...]

Case Presentation: We present a 70 year old Caucasian male with an established diagnosis of Darier’s disease (DD) since childhood. Our patient was recently diagnosed with Intraductal Papillary Mucinous Cystic Neoplasm of the pancreas and underwent a pancreatectomy, splenectomy with hepaticojejunostomy and Billroth II gastrojejunostomy. The stress of his recent surgery exacerbated his DD, and [...]

Case Presentation: A 47-year-old Hispanic female smoker presented with aone-week history of severe, intermittent substernal chest pain radiating tothe left arm. The pain was associated with palpitations and shortness ofbreath. She was afebrile with a heart rate of 100, a blood pressure of119/59, a fine tremor, and brisk reflexes. No lid lag or proptosis wasappreciated. [...]