Case Presentation: A 56 year-old man with a history of psoriasis on adalimumab, coronary artery disease with prior stents, presented with chest pressure, dizziness, and dyspnea on exertion after noticing three days of melena and crampy abdominal pain. He denied nausea, vomiting, hematemesis, or bright red blood per rectum. Other than taking aspirin 81mg once […]

Case Presentation: A 56 year-old woman with a history of recurrent sinopulmonary infections and septic arthritis presented with fevers and malaise secondary to an infected mediport. She had a prior negative workup for acquired immune deficiencies, including HIV, CVID and IgG deficiency, but had been on trimethoprim-sulfamethoxazole (TMP-SMX) for prophylaxis. Upon admission, she was initially […]

Case Presentation: A 21-year old female presented with fever, abdominal pain, diarrhea and hematochezia. Her past medical history was significant for ulcerative colitis and recurrent clostridium difficile infection. On exam, she had tender abdomen and erythematous tender nodules on legs. Her left eye was inflamed on the nasal sectorial area of sclera and conjunctiva with […]

Case Presentation: A 54 year-old woman with history of pulmonary embolism and deep vein thrombosis (with prior placement of inferior vena cava (IVC) filter on apixaban) presents with recurrence of hematemesis and dark stool. This was her third hospitalization with GI bleed requiring transfusion in the last few weeks. Her prior work up included multiple […]