Introduction: Anaplastic thyroid cancer (ATC) is a relatively rare tumor of the thyroid follicular epithelium. It comprises less than ten percent of thyroid malignancies with an incidence of one to two per million persons. This poorly differentiated cancer coexists with or arises from other more differentiated thyroid cancers (DTC). It has a very rapid course […]

Case Presentation: 41 years old Hispanic gentleman with no significant past medical history who presented to the hospital for difficulty walking and diarrhea.Over the last four years, he has had watery non-bloody diarrhea multiple times daily. He reported one bloody bowel movement a week before his presentation. He had lost a significant amount of weight […]

Case Presentation: A 23‐year‐old Chinese woman with a 5‐year history of Graves’ disease (GD) was admitted for a newly diagnosed ovarian tumor. During workup for the tumor, computed tomography (CT) of the chest incidentally showed a large homogeneous anterior mediastinal opacity, 8.6 x 3.1 x 7.4 cm. Physical examination revealed a diffusely enlarged thyroid. Thyroid […]

Case Presentation: A 21-year-old male with past medical history of Crohn’s disease on monthly infliximab infusion initially presented to the emergency department with a 5-day history of joint pain. He first noted left-sided pain that was only relieved by heat, but it progressed to left hip and groin pain made worse with movement. The patient […]

Case Presentation:             A five year old Hispanic female presented with a five day history of high grade fevers and generalized rash.  She also had bilateral anterior and posterior cervical lymphadenopathy with strawberry tongue on physical examination.  Laboratory evaluation for fever at day 3 revealed elevated inflammatory markers.  Patient was […]

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: AR is a 3-week-old full term, previously healthy girl, who presented to the Emergency Department (ED) with a rash involving the perianal skin and gluteal crease. The rash began at 1 week of life. The primary care provider (PCP) presumed it was a typical diaper dermatitis, and prescribed oral amoxicillin and mupirocin ointment. […]

Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have […]

Case Presentation: A 13 month-old girl presented with twenty-one days of fever and lethargy, as well as one week of decreased oral intake and intermittent diarrhea. She had been previously healthy and was current on her vaccinations. On day twenty-one of illness her pediatrician directly admitted her after initial laboratory assessment was notable for WBC […]

Case Presentation: A 25-year-old man with a past medical history of Ulcerative Colitis (on mesalamine and non-compliant with steroid suppositories) presented as a transfer from an outside hospital (OSH) with fevers, left sided chest soreness, abdominal pain, and bloody diarrhea for 1 week. CT chest, abdomen, pelvis from OSH revealed diffuse colitis as well as […]