Case Presentation: A 61 years old man with a history of metastatic rectal carcinoma T3 N0 M1 underwent neoadjuvant & adjuvant chemotherapy with FOLFOX along with resection of rectal tumor. One year later he had recurrent liver & sacral metastases for which he was started on FOLFIRI and bevacizumab with completion of 1 cycle of [...]

Case Presentation: A 72-year-old man with a history of Crohn’s disease and hypertension presented to the emergency department with one month of worsening fatigue, anorexia with weight loss and headaches. The patient also noted intermittent high-grade fever up to 105 degrees Fahrenheit of one week’s duration.One month before presentation, the patient had returned to NYC [...]

Case Presentation: 37 year-old male with a medical history significant for intravenous drug usage presented with three years of progressive generalized symptoms including weight loss, fevers, and shortness of breath. The patient started to experience worsening fatigue, drenching night sweats and an unintentional weight loss exceeding 20 pounds over several months leading to admission. Upon [...]

Case Presentation: A 40 year old recently immigrated Indian male with medical history significant for two episodes of hemorrhagic dengue fever presented with a three day history of epistaxis, gingival bleeding, hematuria, hematochezia and a vesicular rash. On presentation, the physical exam was remarkable for a large mucosal hematoma, gingival bleeding, and diffuse hemorrhagic vesicular [...]

Case Presentation: Young female with history of juvenile rheumatoid arthritis, not on any medications,

Case Presentation: A 54-year-old male was admitted for six weeks of progressive lower extremity weakness and bowel and bladder incontinence. Work-up revealed an epidural abscess at T12-S1 with severe spinal stenosis at L1 and L2. He was started in empiric vancomycin and ceftriaxone before undergoing a T12-L5 hemilaminectomy and abscess drainage. During the surgery, absorbable [...]

Case Presentation: A 22-year-old male with no known medical history presented with complaints of epistaxis for two weeks and subjective fevers. The patient also reported fatigue, and unintentional weight loss for three months. He was tachycardic to 111 on presentation, but otherwise afebrile and normotensive. Pertinent physical exam findings included dried blood in the nares, [...]