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 […]

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 […]