Case Presentation: A 46 year-old male from India presented with acute epigastric abdominal pain, dysphagia, decreased appetite, nausea, and generalized weakness. This case starts 6 months prior to admission when he was found to have an elevated creatinine at a routine primary care visit. Subsequently, due to worsening kidney function, a kidney biopsy was performed […]

Case Presentation: A 43 year-old man with no known past medical history presented with four days of dull right upper quadrant and right flank pain of insidious onset. The pain was described as a dull cramping, unrelated to food consumption. He denied dysuria, hematuria, fevers and weight loss. On admission, the patient was well appearing […]

Case Presentation: An 84-year-old male veteran with prostate cancer s/p prostatectomy in 2002 with positive margins, uncontrolled type 2 diabetes, untreated hepatitis C, 50-pack-year history, presented for admission after routine labs at his primary care physician’s office revealed prominent eosinophilia of 6,900 and hyponatremia. The patient’s main complaint was generalized pruritus and a one-month pruritic […]

Case Presentation: A 65 year-old female with a history of hyperlipidemia presented with odynophagia, fevers, weight loss and two months of neutropenia. A hematologist had evaluated the neutropenia with a negative outpatient workup, including ANA, HIV, peripheral blood smear and flow cytology and an unremarkable CT of the abdomen/pelvis. One month prior, she was admitted […]

Case Presentation: A 29-year-old woman with poorly-controlled type I diabetes presented to the emergency department with nausea, vomiting, lethargy, and odynophagia for two days prior to admission. Her physical exam was notable for dry mucus membranes, ketotic breath odor, and mid-epigastric tenderness. Laboratory studies showed a blood glucose of 421 mg/dL with an anion gap […]

Case Presentation: A 24 year old Hispanic male with history of ESRD due to presumed medullary cystic disease who underwent DDKT x2 first in 2/2011 complicated by acute vascular rejection with loss of transplant, then again in 11/2011 which was complicated by antibody mediated rejection in 2015 that was treated with plasmapheresis developed a subacute […]