Case Presentation: A 34 year old African American woman with chronic medical problems including polycystic ovary syndrome and borderline diabetes mellitus type 2 presented to our hospital with the chief complaint of right eye pain and swelling (Figure 1).  She noted a 3-month history of gradually progressive headache, right eye pain, and periorbital edema.  Prior […]

Case Presentation: The patient is a 64-year-old male, history of ischemic cardiomyopathy, chronic right ventricular failure, arrhythmia, and new infarcts, status post cardiac transplant. While recovering in the cardiac ICU, the patient started experiencing confusion and personality changes, and was unable to recognize his mom. On CT scan, the patient was shown to have a […]

Case Presentation: A 21 year-old male with history of untreated Hepatitis C and intravenous drug use presented with acute right-sided weakness, fevers and altered mental status. Exam was significant for word-finding difficulty, asymmetric pupils, and 4/5 right-sided upper extremity and facial weakness. Labs were remarkable for leukocytosis. Brain MRI demonstrated expansile process involving the left […]

Case Presentation: A 60-year-old woman presented with non-healing bilateral lower extremity ulcers. She had a history of systemic lupus erythematosus (SLE) treated with prednisone, azathioprine, methotrexate, and hydroxychloroquine. She previously took warfarin for treatment of a deep vein thrombosis (DVT), but was switched to apixaban after developing a purpuric rash. On presentation, her right calf […]

Case Presentation: An 80-year-old female with a history of hypoxic encephalopathy, chronic respiratory failure on mechanical ventilation through tracheostomy, End stage renal disease on hemodialysis through right arm arterio-venous fistula who presented immediately after dialysis session with hypotension, tachycardia and hypoglycemia from nursing home. Physical exam was remarkable for a temperature of 100.5 F, blood […]

Case Presentation: We present a 68-year-old woman who was in her usual state of health until July 2019 who presented with abdominal pain, back pain along with unintentional weight loss. Imaging revealed a mass in her pancreatic body which was confirmed with EUS and biopsy as invasive pancreatic adenocarcinoma. In late August, she presented with […]