Case Presentation: A 62‐year‐old HIV positive Caucasian Male presented with 4‐day history of sudden onset, severe abdominal pain. Patient also had decreased appetite, nausea. He was passing flatus. His last CD4 count was 612 a month ago. On abdominal examination, there was tenderness around the umbilicus. Abdominal and pelvic CAT scan with contrast showed superior […]

Case Presentation: An 86 years old male with a history of pulmonary fibrosis, HTN, CHF, RA, valve replacement presented after left eye transient visual loss and exertional dyspnea. He reported an episode of painless vision loss in the left eye, felt like a grey curtain was pulled down over his left eye and lasted about 30 seconds. He […]

Case Presentation: We present a 52-year-old lady who was referred to the emergency department by her primary care physician for progressively worsening generalized weakness and fatigue. Her symptoms have been gradually worsening over the last three months to the point that she was having difficulty completing her activities of daily living. Associated symptoms included a non-pruritic skin rash that […]

Case Presentation: 51-year-old Hispanic male with past medical history significant for SLE treated with Plaquenil for the past four years and Idiopathic thrombocytopenia (ITP) requiring splenectomy presented with one-week history of hematuria and worsening bilateral flank and abdominal pain. Physical examination revealed petechiae on bilateral lower extremities and edema. Laboratory data was significant for a […]

Case Presentation: A 48-year-old Columbian woman presented with 5 weeks of malaise, epistaxis, and hemoptysis. Physical exam was relevant for fever, conjunctival injection, hoarseness, coarse breath sounds, tachycardia, mononeuritis, trace lower extremity edema, and no stigmata of thrombotic microangiopathy (TMA). Labs were significant for a creatinine of 2.8, leukocytosis, thrombocytosis of 992×103, and microscopic hematuria. […]

Case Presentation: A 52-year-old man with past medical history of GERD and Gilbert’s syndrome presented with acute onset abdominal pain for 1 day. He had sudden onset epigastric pain, radiating into his left upper quadrant and his left lower flank.  Symptoms were constant since the first appearance. He reported nausea and reduced oral intake but without emesis and denied fever, […]

Case Presentation: 49-year-old female with a history of hypothyroidism, hypertension, depression, and insomnia was admitted for the evaluation of recurrent pneumonia. Her home medications include antihypertensives, levothyroxine, citalopram and trazodone. She reported that she had been falling ill for the past few years. She was treated for recurrent pneumonia with various antibiotics, short courses of […]

Case Presentation: This is the case of a 55-year-old female with history of asthma who presented with chief complaint of abdominal pain. The patient endorsed an 8-month history of intermittent stomach discomfort that acutely worsened to severe RUQ pain, nausea, and diarrhea. Social history was notable for recent travel to China and herbal supplement use. Patient’s outpatient […]