Case Presentation: A 75 year old woman with past medical history of hypothyroidism presented with weakness and the sensation of “large folds of skin” on the bottom of her feet. Pertinent physical exam findings included conjunctival pallor, nonspecific diffuse abdominal tenderness, and hyperpigmented macules of the dorsal finger tips and soles, which were also new […]

Case Presentation: 53 year‐old Hispanic male with history of recently diagnosed coronary artery disease, hypertension and diabetes mellitus presented with one day of abdominal pain followed by painful hematochezia. The abdominal pain was described as intermittent and colicky followed by tenesmus. The initial bloody stool had mixed bright blood and was followed by smaller bowel […]

Case Presentation: A 59‐year‐old gentleman was admitted with three‐weeks of unremitting, episodic fevers after returning from a recent visit to India. He endorsed associated drenching night sweats, chills, shortness of breath and generalized fatigue. During his travels, he visited a hospitalized family member, drank unfiltered water, and stayed in a house with reported mold growth. […]

Case Presentation: A 59-year-old previously healthy man presented with subacute fatigue, back pain, and fevers. He developed gradual exertional intolerance in the preceding months which had progressively worsened prior to seeking medical attention. On the day of his presentation, he developed significant abdominal and atraumatic midline back pain. Vital signs at presentation were notable for […]

Case Presentation: A 32 year-old African American man with a history of Kikuchi-Fujimoto’s Disease (KFD), presented with 2 weeks of fever, cervical lymphadenopathy and cough. Laboratory tests showed pancytopenia, elevated ESR, positive double stranded DNA and ANA titer. Complement 3 and 4 levels were low. His fever persisted despite broad spectrum antibiotics. Computed tomography (CT) […]

Case Presentation: 70 year old male with no significant medical history except for glaucoma who was functioning independently at baseline was brought in to the hospital by family as patient reported seeing “diminutive ninjas” inside his house. He was awake, alert and oriented and was able to carry a normal conversation. The patient was initially […]

Case Presentation: A healthy 38 yo woman presented to hospital with 3 weeks of fatigue. She was recently treated for a urinary tract infection but continued to feel unwell. She complained of mild LUQ abdominal pain. On review of systems she endorsed weight loss, fever and night sweats but denied chest pain, dyspnea, easy bleeding, […]

Background: It is unknown whether major changes in population insurance coverage are associated with changes in thirty‐day hospital readmission rates, despite the Affordable Care Act’s coverage expansions coming into effect this year. Methods: To evaluate the impact of a large‐scale insurance expansion on hospital readmission rates, using Massachusetts’ 2006 health insurance expansion as a natural […]

Case Presentation: Six weeks prior to admission a 27 year old man from Djibouti, Africa was seen in an outside hospital for an enlarging cervical lymph node, abdominal pain and weight loss. A CT scan of his chest revealed adenopathy with multiple intrathoracic abscesses. He had a small bowel obstruction requiring surgical repair with cultures positive […]

Case Presentation: A 70 year old female with a history of diabetes presented to the hospital for evaluation of pancytopenia and neutropenic fever. She was found to have pancytopenia on routine blood work. about 2 months prior to presentation. She complained of intermittent fever and chills for 1 week. She denied any specific complaints including […]