Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional […]

Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional […]

Case Presentation: A 41-year-old female presented with a three-day history of nausea, vomiting, and diffuse abdominal pain radiating to her back. The day prior to admission, the patient started having hematemesis, characterized as “streaks” of blood in her emesis. The patient had recently been in a motor vehicular accident leading to a tibial plateau fracture […]

Case Presentation: The patient is a 68 year‐old Hispanic man with past medical history of hypertension, diabetes and kidney transplant from diabetic nephropathy who presented to the emergency department for acute worsening of lower back pain and leg weakness. Patient previously had injury to the lower back and since then has always had pain and […]

Case Presentation: A 73-year-old female with coronary artery disease, biventricular systolic heart failure requiring implantable cardiac defibrillator (ICD), paroxysmal atrial fibrillation (A-fib) treated with amiodarone for 2 years presented with abdominal pain, nausea, loss of appetite for 1 month. She also reported a recent ICD discharge. Initial vital signs were remarkable for a blood pressure […]

Case Presentation: A 58 year old woman is transferred to our Intensive Care Unit for septic shock, acute renal failure, and acidemia. She was well until 3 days ago where she was weak, had nausea and vomiting, as well as shortness of breath, exertional dyspnea, and generalized fatigue. She has chronic pain for which she […]

Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to […]

Case Presentation: A 65-year-old African-American man with a history of gout, bipolar disorder, coronary artery disease, and a transient ischemic attack was admitted with fever and altered mental status. The patient was seen two weeks prior to presentation for follow-up of a presumed allopurinol-induced rash in his antecubital fossae, which had resolved on prednisone. Since […]

Case Presentation: A 21-year-old African American, primigravid presented at eight weeks gestation with a two-week history of progressively worsening lower abdominal and back pain, as well as intractable nausea and vomiting. Her symptoms were accompanied by tachycardia, hypertension, constipation, dark urine and blistering lesions on her lips. On exam, she was tender across her abdomen […]

Case Presentation:   58-year-old female with no significant medical history presented with fatigue, dyspnea on exertion, bilateral lower extremity edema, and increased abdominal girth for 3 months. She also reported intermittent fevers, 2 months of dull right upper quadrant pain that radiated to her back and an unintentional ten-pound weight loss over the past year. On exam, vitals were notable for low-grade fever […]