Case Presentation: Patient is a 29 year old female with no significant past medical history who presented to our hospital with an unintentional 60 pound weight loss over 3 months and 4 days of palpitations, shortness of breath, leg swelling, and orthopnea. Physical exam revealed 4+ pitting edema, tachycardia (130 beats/minutes) and jugular venous distention […]

Case Presentation: A 64-year-old man with atrial fibrillation on warfarin presented with one week of progressive bilateral lower extremity weakness. Neurologic examination was significant for paraplegia with hypertonia, decreased sensation to the T12 level, and bilateral dorsiflexion of the hallux on plantar reflex testing. Laboratory results were significant for supratherapeutic INR of 22. Initial diagnostic […]

Case Presentation: A 58 year-old male with a history of heart and kidney transplantation in 2012, was admitted for a five day history of worsening diarrhea.  Initial workup did not reveal a cause for his symptoms, and his mentation was at baseline.  There was no history of mosquito bites or other exposures.  Following admission, he […]

Case Presentation: 48-year-old-female with the history of Diabetes Mellitus presented with the complain of feeling sick for four-day-duration, chronic diarrhea, and unintentional weight loss of 20 lbs. over a period of two weeks. She was hypotensive with blood pressure 83/42 mmHg, hypothermic with temperature 35 C, tachycardic with the heart rate of 132 and tachypneic […]