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 69 year-old man with a history of urothelial carcinoma of the bladder status-post cystoprostatectomy with ileal conduit presented with fatigue, tachycardia, night sweats, and foul-smelling urine. At an outside hospital, he had recently been diagnosed with a new 11cm right renal mass with apparent diaphragmatic invasion. On exam, he was a pale, [...]

Case Presentation: A 50­ year ­old man with poorly controlled type 2 diabetes mellitus (DM) presented with flank pain, nausea, vomiting, and fever. On exam, he was febrile, tachycardic, hypotensive, and had right sided CVA tenderness. The ER performed a CT stone protocol, however, imaging demonstrated right sided emphysematous pyelonephritis (EPN). Our patient was admitted [...]

Case Presentation: A 61-year-old female with history notable for Crohn´s disease in remission presents with dysphagia associated with an unintentional 16kg weight loss over six weeks. Review of symptoms is notable for chronic diarrhea which stopped 3 days prior to admission and acute dysuria and polyuria. She is afebrile and hemodynamically stable. Initial laboratory studies [...]