Case Presentation: A 70 year old man with past medical history of prostate cancer, s/p prostatectomy and radiation therapy, CVA requiring tPA treatment and diet controlled diabetes was seen initially at an outside medical facility with complaints of decreased appetite, weight loss and fatigue . His physical exam was only remarkable for a purpuric rash on […]

Case Presentation: A 76-year-old woman complaining with generalized edema underwent CT at a local hospital. It revealed diffuse subcutaneous edema and infiltration in pelvic area and both lower extremities and enlarged inguinal lymph nodes. She admitted our hospital for further evaluation. On physical examination, her vital sign was stable except high blood pressure of 172/88 […]

Case Presentation: A 69-year-old man with coronary artery disease and prior myocardial infarction; cryptogenic cirrhosis; hypertension; end-stage renal disease; and insulin-requiring diabetes mellitus presented with five days of nausea and non-bloody, non-bilious emesis; abdominal distention; and diffuse, cramping abdominal pain. Since the onset of his symptoms, he had continued to pass flatus and formed bowel […]

Case Presentation: A 62 year old female with a history of vitiligo, remote bilateral silicone breast implantation, and latent tuberculosis presented with 3 months of B-symptoms, weight loss, and polyarthalgias attributed to a new diagnosis of rheumatoid arthritis. Physical exam was significant for diffuse tender lymphadenopathy most notably at the supraclavicular nodes and a fixed […]