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: 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 36‐year‐old male with a history of possible Crohn’s disease presented with five days of severe epigastric pain, vomiting, diarrhea, hematochezia, and subjective fevers. He was afebrile, but had a mild leukocytosis of 16.4k with normal differential, positive fecal occult blood test, and significant upper abdominal tenderness. The patient reported similar intermittent episodes […]

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: LB is a 51 year‐old man who presented for fever and shortness of breath for one week. Associated symptoms included fatigue, weakness, chills, and night sweats. There is no weight loss or hemoptysis. Symptoms worsened with exertion and improved with supplemental oxygen. Past medical history was significant for a remote history of IV […]

Case Presentation: A 72 year old man underwent elective splenectomy for symptomatic splenomegaly at an outside hospital and developed postoperative splenic bed hemorrhage requiring percutaneous drainage. Pathology revealed extramedullary hematopoiesis and bone marrow biopsy showed evidence ofJAK-2 positive primary myelofibrosis. He was readmitted with hypoxic respiratory failure and transferred to our hospital for further care. […]

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: A 37-year-old woman was admitted for a 3-month history of right lower quadrant and low back pain. She has a past medical history of systemic lupus erythematosus (SLE) with class IV lupus nephritis treated with induction cyclophosophamide and prednisone, currently maintained on hydroxychloroquine and mycophenolate. She recently traveled to Brazil for work. She […]