Case Presentation: A 31-year-old man presented to the ED with one week of worsening cough, headaches, and abdominal pain. Initial laboratory evaluation revealed a total bilirubin level of 15.6 mg/dL, ALP 181 U/L, ALT 518 U/L, AST 829 U/L. Lipase and GGT were within normal range. Chest x-ray and abdominal ultrasound showed no abnormalities. He […]

Case Presentation: A 47year old Caucasian man came to the emergency room with of fever, severe headaches, severe body aches and pain for 4days. Headaches worsened and he developed photophobia on day 5. He was taking Bactrim for an infected left arm wound which he stopped after these symptoms started. On examination, he was acutely ill looking, […]

Case Presentation: A 21-year-old healthy Hispanic male presented to the hospital for evaluation of fever and sore throat for 4 weeks. He had no significant past medical history and he was not on any medications. His vital signs were within normal limits. Physical exam revealed icterus and no hepatosplenomegaly. The remainder of the physical exam […]

Case Presentation: A 34 year old male with no past medical history initially presented to an urgent care facility with abdominal bloating and discomfort over several months.  It was noted at the time that he had a history of drinking six to twelve beers per day for the past two years.  He was subsequently prescribed […]

Case Presentation: A 42-year-old female with no significant past medical history presented with a 20-day history of myalgias and proximal muscle weakness.  She reported difficulty walking, rising from a chair, brushing her hair, and holding objects in a single hand.  She denied any fevers, chills, rash, arthralgias, dysphagia, cough, or shortness of breath.  She was […]

Case Presentation: An 84-year-old male with a PMH of CAD, atrial fibrillation and BPH presented to the ED due to night time vision loss and jaundice. Patient stated one month prior to presentation he noticed difficulty with vision at night while driving. One week prior to presentation, patient’s family noticed new-onset jaundice. Upon presentation, patient […]

Case Presentation: A 57 year-old man presented with new-onset shortness of breath and fatigue. He was admitted for symptomatic anemia which improved after receiving a unit of red blood cells. He endorsed mild fatigue and night sweats but no fevers. Further questioning revealed recent unintentional weight loss of 40 pounds and an outpatient anemia workup […]