Case Presentation: 81-year-old man initially presented to his primary care physician for a persistent cough of three weeks associated with new onset shortness of breath when climbing stairs. He had a normal chest X-Ray, but also a mild anemia. Initial work-up was targeted at evaluation for a gastrointestinal bleed. He underwent a CT abdomen/pelvis, upper […]

Case Presentation: A 61 year-old man with cryptogenic cirrhosis, type 2 diabetes mellitus, hypertension, and chronic kidney disease presented with worsening abdominal pain for 3 weeks. He had discontinued oral vancomycin two months earlier for prolonged treatment of C. difficile colitis. Examination revealed new onset ascites, abdominal tenderness, fever, and tachycardia. Labs were remarkable for […]

Case Presentation: A 43-year-old African-American female with a history of multiple sclerosis complicated by paraplegia, neurogenic bladder, and seizures presented to the hospital with a syncopal episode and was found to have a hemoglobin of 2.9 (12.0 to 16.0 gm/dL) with red blood cell count RBC 0.96 (4.00 – 5.20×10^6/uL), lactate dehydrogenase 639 (

Case Presentation: A 24 year-old man presented with one day of mid-epigastric abdominal pain with radiation to his back. He reported an episode of binge drinking the night before. On admission, pulse was 107, blood pressure 141/73, respiratory rate 21, and oxygen saturation 100% on room air. He was fully alert and oriented, and had […]