Background: Cancer screening guidelines based on age, biological sex, and degree of risk are intended to diagnose malignancies early and in the outpatient setting. Despite these efforts, malignancies are often diagnosed while patients are admitted to the hospital. These diagnoses are made either incidentally or after the onset of a clinical condition that necessitates an […]

Case Presentation: A 35‐year‐old Haitian woman with a history of untreated latent tuberculosis (TB) presented with progressive abdominal distention, fatigue, and weight loss. She denied fevers, chills, night sweats, or cough. She denied sick contacts or recent travel outside the United States. She denied taking medications or using alcohol. On exam, her abdomen was soft […]

Case Presentation: A 42 year old Hispanic man with no significant past medical history presented with three weeks of hypoacusia, bilateral ear pain and purulent drainage. The patient also reportedfevers, chills, night sweats and an enlarged painful mass in the neck. He was admitted at this time and was found to be febrile and was […]

Case Presentation: A 47- year-old man with a history of hypothyroidism presented to the emergency room (ER) for the evaluation of generalized body weakness and jaundice of a week duration. There was also associated intense generalized pruritus of about 6 months; subjective weight loss, recurrent fevers, nausea and vomiting. Physical examination was significant for an […]

Case Presentation: A 22 year old African American male, with no significant past medical history, presented to the Emergency Room with fever, chills and productive cough of 2 weeks duration. A diagnosis of left upper lobe pneumonia was made at an outpatient visit 1 week ago for which a 5 days course of oral azithromycin […]

Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT […]

Case Presentation: A 57-year-old Japanese woman with a history of atopic dermatitis and recurrent cystitis presented to our hospital with a 4-week history of intermittent fever with chills, unlocalized mild headache, appetite loss, and 6-kg weight loss. Four weeks earlier, she developed fever without any localized symptoms, except for a mild headache. Her symptoms did […]

Case Presentation: An 8 year old previously healthy Hispanic boy was admitted with a prolonged history of fever for about 14 days with vague right upper quadrant abdominal pain. He had been seen at an urgent care center and ER settings and diagnosed with viral syndrome without any improvement. He continued to spike a fever […]

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 […]