Case Presentation: A 51‐year old man presented with one week of progressive jaundice associated with fevers and pruritus. Medical history included hypertension and an ischemic stroke six weeks prior. Home medications included 5 mg daily lisinopril and 75 mg daily clopidigrel. He denied recent ingestion of herbal supplements, acetaminophen or alcohol. Examination revealed normal vital […]

Case Presentation: This patient was a 44-year-old female with a past medical history of localized scleroderma (morphea) of the breast diagnosed by punch biopsy. She presented to the emergency department with right upper quadrant pain and nausea. At that time, a CT scan showed a heterogeneous liver without a definitive underlying mass. Her workup revealed […]

Case Presentation: A 33 year‐old otherwise healthy man presented with severe muscle pain and inability to ambulate, associated with dark urine for four days. He reported social alcohol use in the days prior, along with his usual exercise routine of 45 minutes on a stationary bike. Physical exam was significant for severe lower extremity muscle […]

Case Presentation: A 65 year old male with no significant medical history presented to an outside facility complaining of fatigue, weakness, nausea and vomiting. He had moderate alcohol history and significant weight loss over the past 6 months. Initial lab workup was notable for elevated liver transaminases with a hepatocellular pattern, Maddrey score of 53.6 […]

Case Presentation: A 45 year old African American Male with no significant past medical history presented with hematuria, shortness of breath, black tarry stools, and multiple bruises throughout his body for the past two weeks. Physical Exam revealed an afebrile, hemodynamically stable patient, with multiple areas of bruises throughout the body. Labs on admission revealed […]

Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 […]

Case Presentation: A 70 year‐old Korean female with no significant past medical history presented to the hospital after three months of generalized weakness and progressively worsening lower extremity edema. She denied any shortness of breath, chest pain, fevers, chills, rashes, arthralgias, orthopnea, paroxysmal nocturnal dyspnea, syncope, or any other constitutional symptoms. She initially presented to […]

Case Presentation: A 21-year-old male with end-stage renal disease for 3 years (cause unknown) presented to the hospital with a 19lb weight loss (10% of body weight) over 2 months. Exam was notable for jaundice, diffuse abdominal tenderness, and innumerable purple, papular lesions covering his body, which he had noticed for 8 months. Labs revealed […]

Case Presentation: A 62 year-old female with herniated T7-T8 disc and chronic back pain presented with 4 days of binocular horizontal diplopia associated with frontal and occipital headaches, photophobia, and tingling of the right hand. Outpatient ophthalmology evaluation noted right esotropia and retinal hemorrhages for which patient was admitted to our hospital. Exam was relevant […]

Case Presentation: A 22-year-old female with a history of biopsy-proven eosinophilic esophagitis, gastroparesis, multiple food allergies, and intermittent amenorrhea presented to the emergency room with weakness and lightheadedness. In the past month she experienced a 15lb weight loss, early satiety, and increasing fatigue. She was being followed outpatient by a gastroenterologist for several months of […]