Case Presentation: A healthy 42-year-old female presented to the emergency room complaining of bright red blood per rectum for one day, associated with a severe lower abdominal pain and tenesmus. Her medications included oral contraceptives which she took for menopausal symptoms. Upon presentation, the patient was afebrile, tachycardic, and normotensive. On exam, the patient had [...]

Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have [...]

Case Presentation: A 62yo female with history of Combined Variable Immunodeficiency (CVID), Cirrhosis and Immune Mediated Colitis presented to the hospital with a 7-10 days history of confusion, ataxia, polyuria, and polydipsia. Her medications included Budesonide (9mg po once daily). Patient had no history of diabetes, and non-fasting blood glucose where in normal range 3 [...]

Case Presentation: A 64 year old female with a pmh of Klinefelter’s syndrome (XXY) s/p gender reassignment surgery, hypothyroidism, asthma, obesity, hyperlipidemia and diverticulosis presented with 6 days of worsening lower abdominal pain and discomfort with diarrhea, mucus and bloody stools along with low-grade fevers, nausea, fatigue, weakness and lower abdominal cramping exacerbated by bowel [...]

Case Presentation: A 25-year-old man with a past medical history of Ulcerative Colitis (on mesalamine and non-compliant with steroid suppositories) presented as a transfer from an outside hospital (OSH) with fevers, left sided chest soreness, abdominal pain, and bloody diarrhea for 1 week. CT chest, abdomen, pelvis from OSH revealed diffuse colitis as well as [...]

Case Presentation: A 29-year-old man with ulcerative colitis and autoimmune hepatitis (both diagnosed at age 15) was admitted to the hospital with a month-long history of hematochezia complicated by anemia and kidney injury. Historically, the patient’s AIH and UC was managed with an immunosuppressive medley; however, the patient had not used any medications within the [...]

Case Presentation: A 54-year-old female presented with abdominal pain and bloody diarrhea for three weeks associated with fever, chills, nausea and multiple bouts of vomiting. On exam, she was hemodynamically stable and had left lower quadrant abdominal tenderness. Laboratory studies were significant for a left shift with a normal white blood cell count. Her chest [...]

Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 [...]