Case Presentation: A 37-year-old woman with a history of endometriosis, fibroids status post fibroidectomy, and previous spontaneous pneumothorax presented with 3 days of progressively worsening right pleuritic chest pain and dyspnea on exertion. She had a similar presentation nine months prior at an outside hospital and was found to have a spontaneous right pneumothorax requiring […]

Case Presentation: A 37-year-old woman with a history of endometriosis, fibroids status post fibroidectomy, and previous spontaneous pneumothorax presented with 3 days of progressively worsening right pleuritic chest pain and dyspnea on exertion. She had a similar presentation nine months prior at an outside hospital and was found to have a spontaneous right pneumothorax requiring […]

Case Presentation: Thoracic Endometriosis Syndrome (TES) is a rare condition characterized by the presence of endometrial tissue inside the thoracic cavity. It consists of four distinct clinical entities: catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. We report the case of a 47-year-old woman with TES presenting as spontaneous hemopneumothorax. Patient is a 47-year old […]

Case Presentation: A 64 year old female presented with fever, slurred speech and altered mental status. She had similar presentations twice in the past diagnosed as aseptic viral meningitis. Her past medical history included hypothyroidism, depression and asthma. Her medications included Levothyroxine and Fluticasone inhaler.On exam the patient was noted to be febrile: 101.6 F, […]

Case Presentation: 33 yr old pregnant female with a history of choleycystectomy, presented at 17 weeks gestational age (GA) to the hospitalist service with epigastric pain, vomiting and transaminitis. She had no pruritus, jaundice or hypertension. Her medications included vitamins and Anise (as a carminative). OB consult determined that the pain was not pregnancy related. […]

Case Presentation: A 36-year-old female presented with a month history of cramping abdominal pain, nausea and vomiting that started after an episode of diarrheal illness associated to ingestion of mangoes. Her symptoms were worse with food intake and consequently, she reported a 25-pound weight loss. Her PCP had performed a urea breath test and an […]

Case Presentation: The patient is a 43 year old woman with Hashimoto’s thyroiditis, Addison’s disease, and ovarian cysts who presented with days of focal right lower quadrant pain and one day of nausea, vomiting, and fever. She had no diarrhea, hematochezia, dysuria, or urinary frequency/urgency. She had doubled her maintenance glucocorticoid dose as instructed when […]

Case Presentation: A 19-year old woman with UC, was noted to have abnormal renal function with elevated serum creatinine 2.6. She reported persistent bouts of diarrhea, fever, chills and facial edema, denied decrease in appetite, fatigue, sore throat, runny nose, headache, vomiting, abdominal pain, urinary symptoms, pruritus, rash or joint pain. She did not have […]