Case Presentation: A 50‐year old Asian man presented to ER with abdominal pain nausea and numerous episodes of vomiting of one day duration. Pt denied any fever, bloody stools, diarrhea or constipation. Patient has lost 100pounds in one year. His past medical history was significant for diabetes mellitus, hypertension, latent tuberculosis and recurrent episodes of […]

Case Presentation: 47-year-old African American incarcerated male presented with headache, new seizures, and blurry vision. Spinal fluid showed high protein, lymphocytes, mildly elevated adenosine deaminase, and low glucose. AFB, bacterial, fungal and viral studies were negative. MRI revealed severe basilar meningitis with enhancing nodular density. RIPE (Rifampicin, Isoniazid, Pyrazinamide, Ethambutol) was started, followed by RI […]

Case Presentation: A 64‐year‐old woman presented with acute onset right lower extremity pain and swelling. She had a history of moderate car travel one week prior to admission and described decline in stamina, generalized fatigue, and night sweats over the course of one month. Past medical history was significant only for gastroesophageal reflux disease. Physical […]

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: Chylothorax and chylous ascites are lymphatic complications characterized by leakage of triglyceride-rich fluid secondary to damage of the thoracic duct. Few cases in the literature exist regarding chylous complications from chronic lymphocytic leukemia (CLL). We report a rare co-existence of chylothorax and chylous ascites in a patient with CLL. A 60-year old non-smoker, […]

Case Presentation: Our patient was a 46-year-old man who presented with two days of malaise, headache, fever and productive cough. He denied chest pain, shortness of breath, exposure to sick contacts or recent travel. He has a past medical history of Celiac disease with associated dermatitis herpetiformis treated with dapsone and betamethasone cream for several […]

Case Presentation: A 60 year-old woman with a history of chronic hepatitis C without cirrhosis and schizophrenia with paranoid delusions was admitted with severe progressive bilateral burning foot pain. She had a history of intermittent alcohol use and recent homelessness. She lacked a primary care doctor and sought care for her bilateral lower extremity pain […]

Case Presentation: A 43 year old male with a history of alcohol use disorder presented complaining of a 1 week history of sharp stabbing abdominal pain associated with diarrhea and fever, and a 15 pound unintentional weight loss over a month. He was tachycardic at 110 and febrile at 101.4 F, but normotensive. He had […]