Case Presentation: A man in his 20s with morbid obesity presented to an urgent care center with a sudden onset of fever, cough and shortness of breath (SOB). He was noted to have wheezing and received nebulized albuterol for presumed “new onset” bronchial asthma. He reported improvement in symptoms and was subsequently discharged. He visited […]

Case Presentation: A 29-year-old Japanese man who attended to an orthopedist in an outside hospital with multiple fractures of rib bones and a compression fracture of vertebral bones was referred to our hospital for further investigation for the tentative diagnosis of rheumatoid arthritis worried about increased serum level of matrix metalloproteinase-3. In advance of the […]

Case Presentation: Headache is one of the most common complaint of patients, yet over 65% of patients with tension-type headaches don’t present to their primary care doctor. When it’s not just a typical headache is when it’s imperative to make the diagnosis early to prevent detrimental complications. A 46-year-old-male presented with a chief complaint of […]