Case Presentation: A 12-year-old healthy female presented for three weeks of abdominal pain, loose non-bloody stools accompanied by night sweats and an eight-pound weight loss. Initial exam was only significant for diffuse abdominal pain. An abdominal X-ray demonstrated a unique appearing paravertebral stripe which prompted a follow up MRI abdomen/pelvis. MRI imaging revealed a 5.8 [...]

Case Presentation: A 69 year-old Mexican man with a history of polysubstance abuse presented to the hospital for fever and dysphagia of 4 weeks duration. CT of the chest taken at an outside facility showed a large esophageal mass with right hilar and left supraclavicular lymphadenopathy (Figure 1). Given concern for malignancy, an EGD with [...]

Case Presentation: 81-year-old man initially presented to his primary care physician for a persistent cough of three weeks associated with new onset shortness of breath when climbing stairs. He had a normal chest X-Ray, but also a mild anemia. Initial work-up was targeted at evaluation for a gastrointestinal bleed. He underwent a CT abdomen/pelvis, upper [...]

Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. [...]

Case Presentation: A 72 year old woman with a history of recurrent, metastatic breast cancer complicated by pembrolizumab-related immune-mediated colitis presented to our hospital with sudden onset dizziness and shortness of breath. Four weeks prior to presentation, she suffered a colitis flare and was treated with a rapid 40 mg prednisone taper along with dapsone [...]