Case Presentation: A 60‐year‐old male with a history of type 2 diabetes mellitus and hypertension presented with nausea, vomiting, malaise and bilateral lower extremity weakness. He was found to have tubercular osteomyelitis with spinal cord compression at the level of T1‐T2 and underwent a T1‐ T3 laminectomy, decompression of the spinal cord and C4 to […]

Case Presentation: A 65-year-old man with a past medical history of gout and chronic pancreatitis complicated by pseudocyst presented with bilateral lower leg swelling, erythema, and pain for few weeks. The rash was also associated with bilateral lower extremity nodules that would spontaneously open and discharge white material. He was seen and treated in the […]

Case Presentation: A 35 year old African American woman with a past medical history of alcohol and tobacco abuse and acute pancreatitis presented to the hospital with a progressive dyspnea and nonproductive cough for one month not responding to outpatient antibiotics. Six months prior to presentation, she was hospitalized for acute pancreatitis that was attributed […]

Case Presentation: A 41-year-old super morbidly obese man (245.4 kg, BMI= 82 kg/m2) presented to the emergency room 9 days after  laparoscopic sleeve gastrectomy complaining of sudden dyspnea, dry cough, palpitations, and painful left lower leg swelling. He denied chest pain, fever, nausea or vomiting and had no personal or family history of venous thromboembolism […]

Case Presentation: A 39-year-old female with history of systemic lupus erythematosus and antiphospholipid syndrome (APS) with recurrent venous thrombotic events despite anticoagulation presented with exertional dyspnea, chest pain and epigastric abdominal pain for 5 days. In the ED, she was found to be tachycardic, tachypneic, and hypoxic. A CT pulmonary angiography was obtained showing no […]

Case Presentation: A 65-year-old male presented to the emergency department with a 5-week history of epigastric pain, nausea, constipation and weight loss. Past medical history was significant for combined liver and kidney transplant 3 years prior due to hepatitis C cirrhosis and hepatorenal syndrome. Chronic immunosuppression consisted of mycophenolate mofetil, tacrolimus and prednisone. Laboratory studies […]

Case Presentation: A 49-year-old man with metastatic pancreatic adenocarcinoma diagnosed three months ago and not yet on therapy presented to the emergency room with symptoms of nausea, vomiting, and abdominal pain for one day. Computed tomography of the abdomen and pelvis showed splenic infarcts, bilateral renal infarcts, and increased size of hepatic metastases. On the […]