Case Presentation: A 60‐year‐old male with a history of type 2 diabetes mellitus and hypertension presented with nausea, vomiting, malaise and bilateral lower extremity weakness. He was found to have tubercular osteomyelitis with spinal cord compression at the level of T1‐T2 and underwent a T1‐ T3 laminectomy, decompression of the spinal cord and C4 to […]

Case Presentation: A 65-year-old man with a past medical history of gout and chronic pancreatitis complicated by pseudocyst presented with bilateral lower leg swelling, erythema, and pain for few weeks. The rash was also associated with bilateral lower extremity nodules that would spontaneously open and discharge white material. He was seen and treated in the […]

Case Presentation: A 36 year‐old African‐American vegan female presented to the Emergency room for worsening fatigue and weakness. Physical examination demonstrated pallor. Laboratory data showed pancytopenia with Hgb 7.8 g/dl (baseline 13), MCV 108.1 fl, WBC 3,900/mm3, and platelets 28,000/mm3. There was no history of prior addictions. The peripheral smear had 2+ schistocytes, megaloblasts and […]

Case Presentation: We present a 70 year old Caucasian male with an established diagnosis of Darier’s disease (DD) since childhood. Our patient was recently diagnosed with Intraductal Papillary Mucinous Cystic Neoplasm of the pancreas and underwent a pancreatectomy, splenectomy with hepaticojejunostomy and Billroth II gastrojejunostomy. The stress of his recent surgery exacerbated his DD, and […]

Case Presentation: A 23-year-old female presented with 7-day history of rash and oral ulcers. The blisters started from the face then spread to neck, left arm and rest of her body. She also complained of increasing difficulty with mouth opening and swallowing, and redness of eyes. Her symptoms were associated with fever of 40°C; there […]

Case Presentation: A 43- year- old healthy man presented to the emergency department with chills, arm pain, swelling, and redness after sustaining a puncture wound from a dead catfish. Vital signs included temperature 38.2 C, HR 116, BP 87/55. He had left medial wrist and forearm erythema, swelling and induration surrounding a small puncture wound […]

Case Presentation: A 53-year-old man presented with nine months of abdominal pain, nausea, constipation, dizziness and syncope with standing, weight loss, and edema.  He had anasarca, persistent orthostatic hypotension, anemia, hypoalbuminemia, and nephrotic-range proteinuria.  BNP was elevated.  Adrenocorticotropic hormone stimulation test was normal.  Echocardiogram showed left ventricular hypertrophy with normal ejection fraction.  Computed tomography showed […]

Case Presentation: A 40-year-old Caucasian woman with history of surgically-repaired lumbar spinal stenosis presented with a progressive swollen and painful right foot over past few hours. The patient was concerned of a spider bite though did not see a spider. The dorsal aspect of the foot was erythematous, edematous, with a pinpoint area of necrosis […]

Case Presentation: This case involves a 53-year-old female with a past medical history of sigmoid colon cancer treated by resection and Capecitabine, type 2 diabetes with macro/microvascular complications, and obesity class II who presented to the emergency department with a rapidly worsening and blistering painful right leg ulceration. Associated symptoms included subjective fevers and chills. […]

Case Presentation: 21-year-old male patient was referred for muscle biopsy after experiencing severe rhabdomyolysis following exercise. He underwent this outpatient procedure uneventfully, but post-procedure, experienced four episodes of syncope and pre-syncope.Patient was orthostatic, and improved some with fluids. Baseline pre-operative electrocardiogram (EKG) showed sinus rhythm with no evidence of PR prolongation, ventricular pre-excitation, interventricular conduction […]