Case Presentation: A 73 year‐old Caucasian male with controlled non‐insulin dependent type II diabetes, hypertension, and hyperlipidemia, presented with 3 months of fatigue, night sweats, RLQ pain, and ∼20lb weight loss. Physical examination elicited RLQ tenderness. A CBC, BMP, PTT, and PT/INR revealed only a normocytic anemia (Hb=11.7, MCV=87). An Abdominal/Pelvis CT scan discovered a […]

Case Presentation: A 94-year-old female with a past medical history of cerebrovascular accident (no residual effects) presented with an intertrochanteric fracture of the right proximal femur after a mechanical fall. On arrival, the patient was afebrile, vital signs hemodynamically stable. On exam, the patient was alert and oriented x3 with no focal deficits, extremities warm […]

Case Presentation: Four years after kidney transplantation a 65 year-old woman with type 2 diabetes, hypertension, and no psychiatric history is referred to the hospital by her primary care physician to evaluate altered mental status. She was successfully maintained on tacrolimus with stable trough levels. During the preceding three months she had developed progressive symptoms […]

Case Presentation: A 61-year-old woman with a 9-month history of an asymptomatic parathyroid nodule presented to the hospital with three weeks of malaise, constipation, unsteady gait, and confusion. Over the three weeks, she described how difficult it was for her to concentrate and that on multiple occasions, while driving, she would “zone out” for minutes […]

Case Presentation: An 18 year-old female with no significant medical history was admitted to the pediatric unit with a three-day history of lower abdominal pain and a one-day history of nausea and vomiting. She had no fevers or urinary symptoms and review of systems was otherwise non-contributory. She had started an oral contraceptive pill the […]

Case Presentation: A 59-year-old male with a past medical history of end-stage renal disease on hemodialysis, hypertension, diabetes mellitus, and a recent diagnosis of multi-microorganism osteomyelitis due to diabetic foot ulcer on intravenous vancomycin and ertapenem for the past 2 weeks presented to the hospital for visual and auditory hallucinations. The symptoms started shortly after […]