Case Presentation: A 35-year-old black male presented to the emergency department (ED) with acute onset diffuse abdominal pain, along with nausea and vomiting. Review of systems was positive for polyuria and polydipsia. The examination was unremarkable apart from a sizeable fungating lesion of the left lower extremity by the ankle measuring 12 x 8 cm. […]

Case Presentation: A previously active 54 year old female with a history of COPD experienced progressive worsening fatigue and two episodes of syncope over the course of 4 months. Transthoracic echocardiography showed a massive 4.9cm x 3.5cm left atrial mass occupying nearly 90% of her left atrium. Four days later she underwent a diagnostic coronary […]

Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination […]

Case Presentation: A 46 year old male with a history of severe Crohn’s disease requiring several colon and small bowel resections and subsequent short gut syndrome was admitted for narcotic overdose and a lower gastrointestinal (GI) bleed. He had an indwelling Hickman catheter in the right internal jugular vein for total parenteral nutrition. He had […]

Case Presentation: AN 86 years old female with medical history of hypertension, hyperlipidemia and end stage renal disease presented to the emergency room with chest pain of 2 hours duration radiating to her back, jaw and left arm. Physical exam revealed normal vitals, blood pressure was equal in both arms. Cardiac and chest exams were […]

Case Presentation: A 74-year-old male with a past medical history of Stage III CKD and paroxysmal atrial fibrillation was initially taken to his PCP by his wife for changes in his mental status, trouble remembering things and following directions while driving. As his outpatient workup was ongoing, he also developed a fever with chills and […]

Case Presentation: We report a case of subacute progressive cerebellar ataxia in a 56-year-old male with significant smoking history and COPD, presenting 3 weeks after the start of dizziness and gait ataxia. The patient had associated dysmetria and balance issues, which progressively worsened prompting admission to an outside hospital. There, a CT head was found […]

Case Presentation: 55 year old male was transferred to the hospital after three days of progressive left sided weakness, facial droop, and declining mental status while in jail for DWI. The patient was unable to provide any history. Jail staff noticed left upper and left lower extremity weakness that progressed to limit his ambulation followed […]

Case Presentation: A 40 year old previously healthy female was incidentally found to have elevated transaminases on routine lab work. She was sent to our hospital for further evaluation. On admission, she complained of fatigue, right sided abdominal discomfort, and jaundice of a few weeks. She denied taking prescription medications but reported taking a supplement […]

Case Presentation:                A 24-year-old man with no past medical history was brought to the emergency department after being struck in the chest by a post while docking a water taxi. On arrival, he complained of shortness of breath and chest pain. Physical exam revealed an alert man with […]