Case Presentation: An 82-year-old, Samoan male with history of poorly controlled diabetes, hypertension, COPD, and pulmonary coccidioidomycosis on fluconazole therapy (400 mg/day) was referred to the hospital by his primary doctor for treatment of a left ankle ulcer and cellulitis that had not responded to ten days of outpatient amoxicillin-clavulanate therapy. He had no constitutional […]

Case Presentation: A 70-year-old female with a history of lobular carcinoma of the breast, status-post mastectomy followed by adjuvant radio-chemotherapy in remission for 4 years admitted with a complaint of right upper quadrant pain and jaundice. Examination was positive for icteric sclera and ascites. Her hemoglobin was 8.8 gm/dL; mean corpuscular volume of 90.5 fL; […]

Case Presentation: A 31 yo male bodybuilder with a history (> 10 yrs) of testosterone and aromatase inhibitor (AI) use presented to the ED after a focal seizure. He reported recent difficulty with fine motor function, unintentional weight loss, and growth of multiple painless nodules over the past 3 to 6 months.Physical exam revealed inguinal […]

Case Presentation: A 61-year-old male presented with complaint of left arm swelling with left axillary lump, which had been worsening for two months. He reported of having a dark-colored left forearm skin lesion which he reportedly removed by himself 15 years ago without seeking medical care. Computed Tomography of chest revealed too numerous to count […]

Case Presentation: Patient is a 29 year old male with no significant past medical history who presented for evaluation of worsening shortness of breath and headaches over one month. He had also lost 15 pounds and was experiencing night sweats and significant fatigue. He required ICU admission for hypoxic respiratory failure. CT chest showed multiple […]

Case Presentation: 60 year old female who presented with generalized abdominal pain and distension. Associated featured included unintentional weight loss of 20 lbs, fatigue, nausea, vomiting. She denied melena, hematochezia, diarrhea or pelvic bleeding. Her past medical history was significant for Estrogen Receptor (ER) positive, Progesterone Receptor (PR) positive, human epidermal factor 2 (HER2) negative, […]

Case Presentation: A 63-year-old male presented with altered mental status of one day duration. The patient’s history was significant for CAD, CKD Stage 3, and a recent whipple procedure for cholangiocarcinoma complicated by abdominal abscess requiring percutaneous drainage and prolonged course of ertapenem (renally dosed). He was admitted to the hospital with encephalopathy after having […]