Case Presentation: A 23-year-old male with schizoaffective disorder was admitted to the psychiatry service with acute psychosis and treated with clozapine.  Low-grade fever developed after 23 days, prompting medical consultation.   He reported chest discomfort and nausea.  He denied cough, shortness of breath, urinary symptoms or rash. He reported having unprotected sex with multiple male […]

Case Presentation: A 37-year-old male with a history of bullous pemphigoid, sickle cell trait, and smoking, presented with 5 months of progressive dysphagia, oral lesions, and weight loss. Initiation of swallowing was intact, however the patient felt as though food was getting stuck mid- esophagus. The dysphagia began with solid food and progressed to liquids.Physical […]

Case Presentation: A 76-year-old man with history of diabetes mellitus, atrial fibrillation, colonic adenoma, and recent self-reported bed bug infestation presents with one month of pruritic rash. On interview, he also endorses progressive edema, dyspnea on exertion, orthopnea, as well as 5 days of melena. Admission exam is notable for anasarca and diffuse, tense fluid-filled […]

Case Presentation: 37 year old Hispanic male with Hyperlipidemia presented with diffuse abdominal pain and cramping for 2 days duration. Physical exam showed facial hyper pigmentation, soft palate – 2×2 mm hyper pigmented macules, hyper pigmentation on nails of all extremities. Patient had stocky neck without Goiter and scant axillary hair. Significant laboratory findings were: […]