Case Presentation: A 56-year-old African American male with hyperlipidemia on a statin presented with two days of generalized abdominal pain, malaise, and weakness. Physical exam was unremarkable. Initial labs were notable for WBCs of 22.7 X103/ml, creatinine phosphokinase (CPK) of 28,992 U/L, BUN/Cr of 82/2.02, and AST of 957 U/L. Urine dipstick was positive for […]

Case Presentation: A 73-year-old woman with a past medical history of hypertension and osteoarthritis presented to the emergency department with progressive right lower back pain after a mechanical fall, subacute oropharyngeal dysphagia, and diffuse proximal and distal muscle weakness. On presentation, she was afebrile with unremarkable vital signs. Her labs were significant for a WBC […]

Case Presentation: A 64-year-old woman with a history of ankylosing spondylitis, Crohn’s disease, asthma, and prior diagnosis of drug-induced lupus presents for a diffuse pruritic rash. Six days prior, she developed a single flat violaceous lesion limited to her left jaw and urticaria on her chest. She was started on prednisone 60 mg by her […]

Case Presentation: A 57 year-old female with a history of COPD and CKD presented with recurrent syncope. The patient reported a two year history of recurrent syncopal events and progressive worsening of orthostatic intolerance with inability to ambulate independently. She denied any gastrointestinal or urinary symptoms as well as changes in her sweating patterns. Blood […]

Case Presentation: Autoimmune Polyglandular Syndrome Type 2 is a rare syndrome, with a prevalence of 1.4 to 4.5 per 100,000, distinguished by an association between autoimmune thyroid disease, Addison’s disease, and/or Type 1 diabetes mellitus (Wang, 2016). It can be particularly challenging to diagnose, especially in a situation where the endocrinopathies develop simultaneously leading to […]

Case Presentation: This is an 84-year old Caucasian man with a past medical history of hypercholesterinemia who developed dry cough, mild shortness of breath, generalized weakness, and fever 13 days prior to the presentation. Three days after onset, he was tested positive for SARS-CoV-2 virus. His shortness of breath continued to worsen, and the patient […]

Case Presentation: A 37 year old male with a history of asthma presented with a three day history of acute onset left upper quadrant (LUQ) abdominal pain, worse after meals and associated with nausea. He had no history of cholelithiasis, alcohol abuse or trauma. Vital signs on admission were in normal range. Exam revealed LUQ […]

Case Presentation: A 44-year-old African American male with medical history of hypertension presented to the emergency room for two and a half weeks of nausea without vomiting. He endorsed fatigue, weakness, anorexia, weight loss, jaundice, itching and constipation. He denied fever, night sweats, pale stools, hematochezia or abdominal pain. He reported dark urine with dysuria. […]

Case Presentation: An 87-year-old female with a history significant for hyperlipidemia on high-intensity atorvastatin for 6 months, multinodular goiter, Raynaud’s disease, spinal stenosis with peripheral neuropathy presents with 3 days of decreased appetite and bilateral lower extremity pain. Her COVID RT-PCR screen was positive, but the patient denied cough, shortness of breath, fever, or diarrhea. […]

Case Presentation: 66-year-old Caucasian male with history of type 2 diabetes mellitus and prostate cancer presented to the emergency department with 6-week history of progressive weakness. Initially, he noted difficulty arising from a chair signifying weakness in his proximal lower extremity musculature. It then progressed to involve bilateral proximal upper extremities causing difficulty with brushing […]