Case Presentation: A 42-year-old female presented to the emergency department with a 2-week history of jaundice, intermittent abdominal pain, hip pain, and fevers. Her past medical history was significant for ankylosing spondylitis. She was on chronic immunosuppression with prednisone, Plaquenil and Infliximab. Initial evaluation was remarkable for abnormal liver function and thrombocytopenia (Table 1). The […]

Case Presentation: A 39‐year old man with type 1 diabetes mellitus and end stage renal disease status post a living‐unrelated renal and pancreas transplant two years prior presented with a diffuse, constant headache for 2 weeks, refractory to medications. He developed photophobia, nausea, vomiting and abdominal pain, prompting him to seek medical care. He denied […]

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: We report a 12 year old girl who presented with a burning rash on the left forearm for 2 hours. The child noticed an insidious burning sensation and saw redness of the skin over her forearm. No other lesions or concurrent symptoms were noted. There was no history of trauma or burns. On […]

Case Presentation: A 40-year-old man with untreated HIV presented with two weeks of worsening nausea, headache and diplopia. In addition, the patient had some confusion limiting his ability to recall pertinent medical history other than several years ago he was treated for a fungal brain infection. He denied any fevers, weight changes, abdominal pain, or […]

Case Presentation: A 47-year-old female with a history of kidney transplant on immunosuppressive medications presented with worsening confusion and dysarthria for two days. She also reported headache, intermittent fever, and shortness of breath for one month before her presentation. On presentation, her temperature was 103 F, heart rate was 131 b/m, with normal blood pressure […]

Case Presentation: A 20-day-old male with a past medical history of jaundice that resolved without phototherapy presented to his pediatrician for vomiting and was found to be 92% of birth weight, a loss of 270g since birth. At 5 days of life, parents started formula due to breastfeeding difficulties. Approximately 10 days prior to presentation, […]

Case Presentation: 51 year old female with past medical history notable only for recent knee pain with intermittent NSAID use presented with melenic stools and one episode of coffee ground emesis.On presentation she was tachycardic and hypotensive with initial hemoglobin of 4.9 (units) with improvement in vital signs post blood transfusion. Initial CT abdomen/pelvis without […]