Case Presentation: A 71-year-old man presented with pus from the umbilicus. Past medical history was pertinent for persistent urinary tract infection for a month, complicated by feculent urine and pneumaturia despite two rounds of antibiotics, and 20-lb weight loss. He was found to have purulent drainage from the umbilicus. Lower abdomen was tender without rebound [...]

Case Presentation: A 45 year-old Cambodian female with no past medical history presented to the clinic with a mild cough. Her medical history was notable for never smoking, occasional alcohol use, and no recreational drug use. She had no known occupational exposures and no family history of malignancy. Initial treatment for gastroesophageal reflux disease and [...]

Case Presentation: A 34-year-old woman with history of celiac disease presented with diffuse abdominal pain for 3 days. She also experienced nausea and decrease appetite. There was nonspecific abdominal tenderness upon examination. Lab showed abnormal liver function test: alkaline phosphatase (561 U/L), GGT (632 U/L), ALT (149 U/L), AST (91 U/L), bilirubin (0.5 mg/dL). Abdominal [...]

Case Presentation: This is an 81 years old man presented with unintentional weight loss of 30 pounds in a year. He had history of diabetes type II and 20-pack-year smoking history. Extensive workup at the primary care clinic was unremarkable. CT of chest, abdomen and pelvis identified multiple lung mass, lymphadenopathy and an ill-defined pancreatic [...]

Case Presentation: A 56-year-old smoking female presented to the emergency room with a two-month history of progressive shortness of breath, dry cough, and unintentional weight loss. Her vital signs included a temperature of 36.4°C, heart rate of 116 beats/minute, and a respiratory rate of 24 breaths/minute. Her general appearance was a thin and cachectic woman [...]

Case Presentation: A 49-year-old male with a history of warfarin non-compliance left popliteal deep vein thrombosis (DVT), was admitted for dyspnea, left arm pain and bilateral lower extremities edema. In addition to new evidence of DVTs, the patient was found with nephrotic syndrome (NS). Chest CT showed concern for bronchogenic malignancyand enlarged kidneys. He underwent [...]