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: 58 year-old woman with history of chronic kidney disease, insulin dependent diabetes mellitus, and hypertension presented with three weeks of worsening generalized weakness. She denied recent vomiting, diarrhea, or polyuria. Laboratories revealed severe hypokalemia with potassium of 2.3 mEq/L, sodium of 141 mEq/L, magnesium of 1.5 mEq/L, glucose of 129 mEq/L, creatinine of […]

Case Presentation: A 7-year-old child with homozygous sickle cell disease presented with 12 hours of extremity pain consistent with a vaso-occlusive pain crisis and was admitted to the pediatric floor. The following evening he developed left eye pain, diplopia, severe left-sided periorbital edema and proptosis with inferior globe displacement and decreased extraocular motility, over a […]

Case Presentation: A 61 year old female with Chronic Obstructive Lung Disease (COPD) on inhaled steroids underwent left lower lobectomy for Stage 1 Lung Adenocarcinoma in August 2017. While recovering, her house was flooded by Hurricane Harvey, in Houston, Texas. She was directly exposed to flood waters and subsequently lived with mold in her home. […]

Case Presentation: A 90-year-old female presented with 3 weeks of cough and dyspnea despite a course of antibiotics prescribed by her primary care provider. She was admitted for management of pneumonia. On hospital day 2 she became acutely hypoxic and was started on standing albuterol, after which her whole blood lactate level rose steeply, causing […]

Case Presentation: A 51-year-old female presenting with increasing epigastric pain radiating to her back, nausea, and vomiting for five days. Her past medical history is relevant for coronary artery disease and CABG, type 2 diabetes, hypertension, prior tobacco use, and mood disorder. She had visited her primary care doctor the day prior to presentation with […]

Case Presentation: A 22-year-old Hispanic male with no significant past medical history, presented to ED with acute onset of bilateral lower extremity weakness. The patient stated that weakness was episodic lasting minutes to hours, usually presenting early in the morning right after waking up. The patient complained having 7 similar episodes with acute bilateral lower […]

Case Presentation: A 73-year-old male patient was admitted to our hospital for fever, edema, and painful extremities. He has long-standing type 2 diabetes mellitus of 23 years. Four months before the present hospitalization, despite the body temperature of 37°C, he noticed edema, painful bilateral dorsum of the hands and feet, and poor physical condition. One […]