Case Presentation: A 62‐year‐old HIV positive Caucasian Male presented with 4‐day history of sudden onset, severe abdominal pain. Patient also had decreased appetite, nausea. He was passing flatus. His last CD4 count was 612 a month ago. On abdominal examination, there was tenderness around the umbilicus. Abdominal and pelvic CAT scan with contrast showed superior […]

Case Presentation: An 86 years old male with a history of pulmonary fibrosis, HTN, CHF, RA, valve replacement presented after left eye transient visual loss and exertional dyspnea. He reported an episode of painless vision loss in the left eye, felt like a grey curtain was pulled down over his left eye and lasted about 30 seconds. He […]

Case Presentation: Fibrillary glomerulonephritis and immunotactoid glomerulopathy are rare renal disorders, being present in 0.5 to 1.4 percent of kidney biopsies. Although they are distinct glomerulopathies, they are both nonamyloid fibrillary glomerular diseases and as such, they are Congo red negative on immunohistochemistry. Discussion: Patient is a 75 years old male with PMH of HTN, […]

Case Presentation: A 22yr old African‐American Female with a history of Peripartum cardiomyopathy (PPCM), Left Ventricular thrombus and medication non‐compliance, presented with sudden onset of typical chest pain concerning for Acute Coronary syndrome. She was hemodynamically stable and physical examination was unremarkable. An initial 12 lead EKG showed normal sinus rhythm with non specific ST‐T […]

Case Presentation: A 62‐year‐old right‐handed female with history of idiopathic interstitial lung fibrosis status post lung transplant with new lung nodules, long‐standing hypertension and hyperlipidemia developed new‐onset neurologic deficits following CT‐guided lung biopsy. During the procedure, she experienced sharp chest pain, and immediately after, lost consciousness. Upon regaining consciousness, her neurologic exam was remarkable for […]

Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from […]

Case Presentation: A 78 year old man presented with right upper quadrant abdominal pain to the emergency department. He had no signs of acute abdomen. Labs were significant for low platelet count, elevated alkaline phosphatase. CT abdomen showed cholelithiasis, no evidence of acute cholecystitis; bilateral adrenal nodules left 2.8 and right 1.8 cm. He was […]

Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness […]

Case Presentation: An 82-year-old female with past medical history of paroxysmal atrial fibrillation, hypertension, CKD stage 3, and recurrent Pseudomonas aeruginosa urinary tract infection was admitted to a cardiology inpatient service for generalized weakness and atrial fibrillation with rapid ventricular response.Her recurrent UTIs had been occurring monthly for the past year. She was noted to […]

Case Presentation: A 10-year-old male from China with prior history of a presumed parasitic infection was admitted for abdominal pain, vomiting, and diarrhea. Ten days prior to admission, he traveled to the United States and developed intermittent abdominal pain associated with non-bloody diarrhea and non-bloody, non-bilious emesis.  Review of systems was negative for fever, sick […]