Case Presentation: This is an unusual case of a 62 y/o man with past medical history of DM Type II, HTN, and Chronic renal insufficiency who initially presented with symptoms of weight gain, abdominal distension, altered mental status, worsening fatigue and diarrhea over a period of 3 weeks. He was found to have hepatomegaly and […]

Case Presentation: A 56-year-old male with WHO Group I/III pulmonary hypertension (PH), Gold Stage III COPD, and right ventricular failure presented with several weeks of gradually worsening dyspnea. One month prior, he was hospitalized for an acute exacerbation of PH and was discharged on an increased dose of ambrisentan after excluding intra-atrial shunting. On the […]

Case Presentation: A 62yo female with history of Combined Variable Immunodeficiency (CVID), Cirrhosis and Immune Mediated Colitis presented to the hospital with a 7-10 days history of confusion, ataxia, polyuria, and polydipsia. Her medications included Budesonide (9mg po once daily). Patient had no history of diabetes, and non-fasting blood glucose where in normal range 3 […]

Case Presentation: An 8 week old female born 33 4/7 weeks was referred by her primary care provider (PCP) for evaluation of failure to thrive (FTT).  At birth, she required a 2 week NICU stay for phototherapy as well as “feeding and growing”.  She did not require respiratory support and was ultimately discharged home in […]

Case Presentation: A 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 […]

Case Presentation: 70 year old man with a history of hepatitis C, diabetes mellitus type 2, hypertension, and coronary artery disease presents with worsening pneumonia.  The patient had recently traveled to Italy for 2 weeks with his wife and on return to the United States developed subjective fevers, dizziness and knee pain for one week.  […]