Case Presentation: A 57 year‐old female with a history of a perianal abscess presented with fevers and chills for seven days. Two weeks prior the abscess had drained spontaneously. On admission, temperature 100.9°F, BP 104/70, HR 112/minute, and RR 15/minute. Physical exam demonstrated mild right upper quadrant tenderness and a 1‐2mm well healed scar in […]

Case Presentation: A healthy 27 year-old woman G1P0 presented at 29 weeks gestation with three days of headaches, intermittent confusion, blurry vision, vomiting, and shortness of breath. Physical exam was remarkable for hypertension to 160/93, a Petechial rash on extremities without neurologic signs. CBC was notable for hemoglobin of 5.9, Platelets 11000 with many schistocytes. […]

Case Presentation: A 62 year old man with a past medical history of decompensated alcoholic cirrhosis, esophageal varices (no previous episode of hemorrhage), previous H. Pylori treatment, peptic ulcer disease was admitted to the intensive care unit for bright red blood per rectum and found to be hypotensive with a hemoglobin of 7.0, hematocrit of 19.7. He was discharged […]

Case Presentation: A 20 year old woman with a history of astrocytoma of thoracic and lumbar spine status post resection with subsequent neurogenic bladder and bowel presented with acute encephalopathy following a viral illness. Initial workup showed acute kidney injury (creatinine 2.21 mg/dL), normal hemoglobin (12 g/dL), new thrombocytopenia (platelet 60 K/uL), and urinalysis suggestive […]

Case Presentation: A 59-year-old female with a history of type 2 diabetes, hypertension, dyslipidemia, bipolar disorder, and daily alcohol use, presented with acute onset epigastric abdominal pain radiating to the back, nausea and vomiting. Physical examination was notable only for epigastric tenderness. Pertinent labs include neutrophilic leukocytosis, elevated lipase (2353 units/L) and lactic acidosis (2.4 […]

Case Presentation: A 30-year-old Caucasian male with a past medical history of shoulder impingement, remote intravenous drug use presents as a transfer from outside hospital with 2 weeks of fever and sweats. He was febrile to 106 F at home and also endorsed headaches and blurry vision for four days. He initially denied current use […]