Case Presentation: A 79-year-old African American male patient with a past medical history of prostate cancer presented with progressive weakness, headache, and confusion. Free and total PSA levels were within normal limits. Brain MRI showed a 4.1×3.3×4.1 cm left frontal lesion at the surface of the left lateral ventricle with vasogenic edema and midline shift. […]

Case Presentation: A 28-year-old HIV positive male presented with one week of rectal pain and bloody diarrhea. He was found to have bright red blood in vault on rectal examination. Laboratory studies were concerning for a leukocytosis with left shift, an elevated CRP (>80 mg/dl), and a positive fecal calprotectin. His CT scan demonstrated circumferential […]

Case Presentation: A 57-year-old female with a history of herpes simplex virus was seen at Rheumatology clinic for 3 weeks of myalgias and arthralgias, positive rheumatoid factor and elevated inflammatory markers. By her first visit, her symptoms resolved. Review of systems revealed chronic sinusitis associated with nasal septal deviation and nasal polyps, which previously failed […]

Case Presentation: A 76-year-old woman complaining with generalized edema underwent CT at a local hospital. It revealed diffuse subcutaneous edema and infiltration in pelvic area and both lower extremities and enlarged inguinal lymph nodes. She admitted our hospital for further evaluation. On physical examination, her vital sign was stable except high blood pressure of 172/88 […]

Case Presentation: A 69 year-old man with a history of urothelial carcinoma of the bladder status-post cystoprostatectomy with ileal conduit presented with fatigue, tachycardia, night sweats, and foul-smelling urine. At an outside hospital, he had recently been diagnosed with a new 11cm right renal mass with apparent diaphragmatic invasion. On exam, he was a pale, […]

Case Presentation: 51yoM with no significant medical history presents to ED for evaluation of progressive bilaterally injected, painful conjunctiva of 1 months duration, nonproductive cough and pleuritic chest pain of 1 week’s duration. He was recently treated with moxifloxacin for conjunctivitis without improvement in symptoms. After treatment, he developed nonproductive cough associated with pleurisy and […]

Case Presentation: A 78 year old woman with a PMH of asthma, sinusitis, CAD with stents and recent influenza presents with chest pain. Her EKG was without ST changes and troponin was 0.08 ng/mL. Other labs were significant for WBC of 10,900 cells/uL, and absolute eosinophil count 2800 cells/uL. She was diagnosed with NSTEMI and […]

Case Presentation: A 48-year-old Columbian woman presented with 5 weeks of malaise, epistaxis, and hemoptysis. Physical exam was relevant for fever, conjunctival injection, hoarseness, coarse breath sounds, tachycardia, mononeuritis, trace lower extremity edema, and no stigmata of thrombotic microangiopathy (TMA). Labs were significant for a creatinine of 2.8, leukocytosis, thrombocytosis of 992×103, and microscopic hematuria. […]

Case Presentation: A 66 year-old woman presents with three weeks of acute onset bilateral lower extremity pain and foot weakness; two weeks of dyspnea, non-productive cough, epistaxis; and one week of oliguria and lower extremity edema. Her past medical history includes COPD, prior heavy tobacco use, and pre-diabetes. Medications and allergies are non-contributable. Her father […]

Case Presentation: This is the case of a 55-year-old female with history of asthma who presented with chief complaint of abdominal pain. The patient endorsed an 8-month history of intermittent stomach discomfort that acutely worsened to severe RUQ pain, nausea, and diarrhea. Social history was notable for recent travel to China and herbal supplement use. Patient’s outpatient […]