Case Presentation: A 69-year-old man with coronary artery disease and prior myocardial infarction; cryptogenic cirrhosis; hypertension; end-stage renal disease; and insulin-requiring diabetes mellitus presented with five days of nausea and non-bloody, non-bilious emesis; abdominal distention; and diffuse, cramping abdominal pain. Since the onset of his symptoms, he had continued to pass flatus and formed bowel […]

Case Presentation: A 62 year old female with a history of vitiligo, remote bilateral silicone breast implantation, and latent tuberculosis presented with 3 months of B-symptoms, weight loss, and polyarthalgias attributed to a new diagnosis of rheumatoid arthritis. Physical exam was significant for diffuse tender lymphadenopathy most notably at the supraclavicular nodes and a fixed […]