Case Presentation: A 51‐year old man presented with one week of progressive jaundice associated with fevers and pruritus. Medical history included hypertension and an ischemic stroke six weeks prior. Home medications included 5 mg daily lisinopril and 75 mg daily clopidigrel. He denied recent ingestion of herbal supplements, acetaminophen or alcohol. Examination revealed normal vital […]

Case Presentation: This patient was a 44-year-old female with a past medical history of localized scleroderma (morphea) of the breast diagnosed by punch biopsy. She presented to the emergency department with right upper quadrant pain and nausea. At that time, a CT scan showed a heterogeneous liver without a definitive underlying mass. Her workup revealed […]

Case Presentation: A 36‐year‐old male with a history of possible Crohn’s disease presented with five days of severe epigastric pain, vomiting, diarrhea, hematochezia, and subjective fevers. He was afebrile, but had a mild leukocytosis of 16.4k with normal differential, positive fecal occult blood test, and significant upper abdominal tenderness. The patient reported similar intermittent episodes […]

Case Presentation: A 70-year-old female with a history of lobular carcinoma of the breast, status-post mastectomy followed by adjuvant radio-chemotherapy in remission for 4 years admitted with a complaint of right upper quadrant pain and jaundice. Examination was positive for icteric sclera and ascites. Her hemoglobin was 8.8 gm/dL; mean corpuscular volume of 90.5 fL; […]

Case Presentation: 72 year old Caucasian man who presented to the emergency department with sudden onset severe upper abdominal pain. Pain radiated to the back, with associated vomiting. No history of alcohol use. Past medical history includes acute pancreatitis, cholecystectomy for acute cholecystitis, hypertension and hyperlipidemia. There was no recent change in his medications. On […]

Case Presentation: A 60-year-old female with metastatic breast cancer presented with involuntary irregular forceful and painful contractions of facial muscles and dystonic posturing of her hands and feet lasting 5 to 30 minutes. Episodes sporadically occurred up to 20 times daily. MRI brain and spinal cord showed no evidence of metastatic disease or dural enhancement. […]

Case Presentation: 60 year old female who presented with generalized abdominal pain and distension. Associated featured included unintentional weight loss of 20 lbs, fatigue, nausea, vomiting. She denied melena, hematochezia, diarrhea or pelvic bleeding. Her past medical history was significant for Estrogen Receptor (ER) positive, Progesterone Receptor (PR) positive, human epidermal factor 2 (HER2) negative, […]

Case Presentation: A 28‐year‐old nursing student with a history of bipolar disorder presented to Tucson Medical Center with symptoms of ataxia and bilateral lower‐extremity weakness of a few weeks’ duration. She had paresthesias that started in the feet and ascended up to the trunk. She had fallen several times with no loss of consciousness. On […]