Case Presentation: An 83-year-old man presented to the hospital with eight days of shortness of breath and non-productive cough. His medical history was notable for chronic systolic heart failure, coronary artery bypass graft surgery, and hypertension. A review of systems was positive for myalgia, subjective fevers, fatigue, anorexia, and unintentional weight loss of 5 pounds [...]

Case Presentation: A 60-year-old, Guatemalan female without prior medical history presented with a transient, erythematous, burning, rash involving her extremities and torso (Figure 1). Additional symptoms included fatigue, chills, joint pain, early satiety and weight loss. Blood counts, metabolic panel and serum protein electrophoresis were normal. C-reactive protein (13 mg/L, normal (N)

Case Presentation: A 45yo soldier with a h/o visceral leishmaniasis (VL) and sarcoma of the thigh s/p excision presented with 2 weeks of lymphadenopathy (LAD), fevers, joint swelling, arthralgias, abdominal pain, and weight loss. Since his surgery for sarcoma 6 years prior, he had imaging to monitor for worsening LAD. Multiple lymph node biopsies were [...]

Case Presentation: A 62-year-old female with a past medical history of depression, obesity status postbariatric surgery, non-cardiac syncope and recurrent sinusitis presented to her primary care physicianfor further workup of her syncope. During this visit she was also complaining of continued left frontaland maxillary sinus pain for the past four weeks. She had recently completed [...]

Case Presentation: A 45-year-old male with a history of smoking and hypertension presented to his primary care provider for progressive left-sided pleuritic chest pain without night sweats or fever and reported 2 months of intentional weight loss with diet and exercise. He was sent for an outpatient CT which revealed splenomegaly of 16x19cm with possible [...]

Case Presentation: A 36-year old male with a past medical history of polysubstance abuse presented to the emergency department for evaluation of gradual weakness. Associated symptoms included anorexia, intermittent melena, and unintentional weight loss for the past eight weeks. On exam, he was cachectic, had pale conjunctiva, tachycardic, and had a soft, non-tender abdomen. Labs [...]