Case Presentation: A 45 year old African American Male with no significant past medical history presented with hematuria, shortness of breath, black tarry stools, and multiple bruises throughout his body for the past two weeks. Physical Exam revealed an afebrile, hemodynamically stable patient, with multiple areas of bruises throughout the body. Labs on admission revealed […]

Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 […]

Case Presentation: A 77 year-old man with ulcerative colitis (UC), which was well controlled on mesalamine, presented to the ED with diffuse and intensely pruritic erythematous vesiculopapular and bullous lesions affecting his face, neck, oral cavity, bilateral upper extremities, palms and dorsa of hands, genitals, lower abdomen, and bilateral lower extremities that had manifested over […]

Case Presentation: A 45-year-old Japanese woman with no significant medical history presented to a primary care physician with a four-week history of fever and coughing. She had also developed fatigue and peripheral edema and was therefore admitted to another hospital. On presentation, her body temperature was 37.5℃, pulse was 98 beats per minute, blood pressure […]

Case Presentation: The patient is a 67-year-old male from India with a PMH of Ethanol abuse and type 2 diabetes mellitus. He was hospitalized recently in India for 10 days for Ethanol intoxication. The patient returned to America, suffered a mechanical fall, and was hospitalized for altered mental status secondary to Ethanol intoxication. He completed […]

Case Presentation: A 40-year-old G2P2 woman with a history of systemic lupus erythematosus (SLE) that has been serologically and clinically quiescent for 15 years, lupus nephritis at 25-years-old that was treated with cyclophosphamide, and HELLP syndrome during her first pregnancy, presented with fatigue and dyspnea one month after her second son was delivered via C-section. […]