Case Presentation: A 67-year-old man with a history of type 2 diabetes and hypertension was referred to our hospital for evaluation of persistent hiccups and fever. The patient developed hiccups seven days before the admission, followed by fever (up to 39 degrees Centigrade) two days after having hiccups. Blood tests, rapid diagnostic test for influenza, […]

Case Presentation: A 63-year-old man was admitted to the hospital medicine service at a quaternary center for painful oral lesions that appeared 6 months prior. The lesions had started as multifocal soreness in the mouth floor 2 weeks after having undergone dental work. He was then evaluated by local oral surgery team who performed biopsies […]

Case Presentation: A 60-year-old African woman presented to the emergency department with three days of abdominal pain, nausea, and vomiting. She had recently returned from a ten-month trip through rural Ethiopia where she consumed unpasteurized milk and well water with exposure to goats, cats, and livestock. Her medical history was otherwise unremarkable. On exam, she […]

Case Presentation: A 49 year old female presented to the emergency room with one day history of severe abdominal pain. Past medical history includes hypertension, breast cancer status post lumpectomy and chemotherapy, now on tamoxifen therapy. Epigastric bdominal pain was acute in onset and radiated to the back. The patient denied symptoms of biliary colic […]

Case Presentation: A 27-year-old male with a history of HIV, well-controlled on HAART, presented with persistent hematochezia, rectal pain, and constipation for a month. His history was notable for unprotected anal receptive intercourse. Patient was reportedly seen at multiple other hospitals and received empiric treatments for gonorrhea, chlamydia & syphilis without relief. He was compliant […]

Case Presentation: A 17-year-old, obese, Hispanic female with autism and developmental delay presented with right-sided body weakness and facial paralysis, worsening over two weeks in the setting of a recent upper respiratory infection.  She was initially treated with prednisone and acyclovir at an outside hospital for Bell’s palsy.  However, over the following two weeks, she […]

Case Presentation: A 46-year-old woman with no past medical history presented with right upper quadrant pain, jaundice, and pruritus after undergoing a liver biopsy at an outside hospital. At the outside hospital, she had these same symptoms with hyperbilirubinemia and transaminitis. HIDA scan was negative. The liver biopsy showed marked portal and pan-lobular inflammatory infiltration […]