Case Presentation: An 80 year-old female presented to the emergency room with shortness of breath and melena. She was afebrile, with blood pressure of 121/70 and heart rate 93. Labs showed hemoglobin of 5.2 g/dL with normal INR and platelet count. She underwent an upper endoscopy revealing a 2 mm clean-based duodenal ulcer. As this […]

Case Presentation: A 76‐year‐old man with a past medical history of hypertension and dyslipidemia presented with sudden onset confusion and expressive aphasia. Subsequently, he developed shaking and weakness of the right side of the body. Patient started having generalized tonic clonic seizures eight months ago. Family also noticed a recent decline in memory. Physical examination […]

Case Presentation: We present a 68 year-old man, with a history of benign prostatic hypertrophy, who presented with several months of progressive personality changes and mild gait changes. His wife noticed he had become more introverted, and his gait had become more ataxic with prolonged ambulation. He also started having subtle memory problems. On physical, […]

Case Presentation: A 76‐year‐old man with hypertension, coronary disease, and diabetes presented for routine follow‐up. Social history was negative for alcohol, tattoos, travel, or illicit drug use. He denied blood transfusions or chemical exposures. Exam was benign. Labs revealed alkaline phosphatase 198 IU/L (38‐126) and aspartate transaminase 49 IU/L (15‐41). Bilirubin, creatinine, coagulation, and complete […]

Case Presentation: 56-year-old man with past medical history of abdominal aortic aneurysm surgery was brought to the Emergency Room for change in mental status and having bloody vomitus and melenic stool. On admission, abdominal exam was unremarkable, blood pressure was 110/77 mmHg, heart rate 103/min, Temperature 99.8 °C, Respiratory rate 20 per minute, hemoglobin 11.1 […]

SHM Clinical Abstract ‘She’s Just Not That Interested’ Case Presentation: Patient is a previously healthy 7-week old Hispanic female who presented to an emergency department with cough, congestion and decreased PO intake x 7 days. Baby had an unremarkable prenatal course and normal delivery. Mother was strictly breastfeeding the patient had normal growth and development. […]

Case Presentation: A 64 year old female with a pmh of Klinefelter’s syndrome (XXY) s/p gender reassignment surgery, hypothyroidism, asthma, obesity, hyperlipidemia and diverticulosis presented with 6 days of worsening lower abdominal pain and discomfort with diarrhea, mucus and bloody stools along with low-grade fevers, nausea, fatigue, weakness and lower abdominal cramping exacerbated by bowel […]

Case Presentation: A 19 year old African American male with no significant PMH presented with intractable nausea and vomiting after meals, and 65lb weight loss over 10 weeks. The emesis was bilious and non-bloody, associated with mild epigastric pain from retching. He had been constipated for 1 months and required laxatives to have a bowel […]

Case Presentation: A previously healthy 28-year-old man presented with one year of chest pain, newly associated with exertional dyspnea, fatigue, dizziness, and several episodes of syncope over the past five days.  He denied smoking, recent travel, trauma, decreased mobility, asymmetric leg swelling, or personal or family history of thrombosis.    He was tachycardic and mildly […]

Case Presentation: Pancreaticopleural fistula is a rare and serious complication of acute and chronic pancreatitis. This phenomenon develops due to a leak from an incompletely formed or disrupted pseudocyst, though it can also result from direct pancreatic duct leak. Although few case reports identify pancreaticopleural fistula causing recurrent pleural effusion and empyema, we describe the […]