Case Presentation: An 85-year-old Middle Eastern woman with an intermittently treated solitary hepatic hydatid cyst diagnosed 40 years ago presented to a hospital for 1 month of progressive nausea, vomiting, abdominal pain, and new onset hemoptysis. Past history included multiple myocardial infarctions and an ischemic stroke.  She immigrated to the United States (US) from a [...]

Case Presentation: A thirty-three year old woman with a history of alcohol-induced chronic pancreatitis and sphincter of Oddi dysfunction presented with dyspnea and a non-productive cough. She was admitted to the intensive care unit for acute hypoxic respiratory failure. On arrival, she was febrile and hypoxic, saturating 80% on room air. Labs were notable for [...]

Case Presentation: A 59-year-old incarcerated male presented to the hospital with abdominal pain, fever, and vomiting. Initial diagnostic workup showed a total leukocyte count of 14.2 x 103 /uL. The alkaline phosphate and total bilirubin were normal at 73 IU/L and 1.2 mg/dL, respectively. The Computerized tomography (CT) with contrast of the abdomen and pelvis [...]

Case Presentation: A 63-year-old male with end-stage renal disease, on hemodialysis via left arteriovenous fistula for over 10 years, presented with progressively worsening left fifth-digit infection and severe hand pain over the last month. Additional history includes peripheral vascular disease resulting in bilateral above-the-knee amputations and recent right fourth-digit amputation. He was seen outpatient by [...]

Case Presentation: A 29-year-old man with medical history of type 1 diabetes mellites complicated by chronic nonhealing diabetic foot wound presented with one week history of shortness of breath and malaise. On physical exam he was hemodynamically stable and had a new grade II/VI holosystolic murmur at lower sternal border. Initial laboratory workup revealed elevated [...]

Case Presentation: We report here a case of high output heart failure (HOHF), a rare but potential complication of Arteriovenous fistula (AVF) in a post-renal transplant patient.A 60-year-old male with end-stage renal disease and subsequent renal transplant 3 months ago presented with exertional dyspnea, worsening anasarca, and weight gain of 20 pounds. The patient also [...]

Case Presentation: A 61-year-old African American male with a history of alcohol use disorder and chronic pancreatitis presented to the hospital with shortness of breath and severe chest pain that worsened with inspiration. Two months prior to admission he was found to have a 17x12x12 cm pancreatic pseudocyst and subsequently underwent cystogastrostomy with stent placement [...]

Case Presentation: A 67 year-old man with history of transient ischemic attack, coronary artery disease, and peripheral artery disease status post aorto-iliac graft in 1994 presented with intermittent fevers, chills, and intense rigors. Symptoms started following a dental procedure 6 months earlier after which he was diagnosed with streptococcus anginosus bacteremia. Continued fevers prompted trans-esophageal [...]

Case Presentation: 59 year old male with past medical history of paroxysmal atrial fibrillation status post radiofrequency ablation x2 who presents with fever, chills, left sided weakness, and hematemesis 2 weeks after a redo radiofrequency (RF) ablation. The patient initially presented to the outside hospital Emergency Department after developing fever, rigors, and nausea about 9 [...]

Case Presentation: 56-year-old man with past medical history of abdominal aortic aneurysm surgery was brought to the Emergency Room for change in mental status and having bloody vomitus and melenic stool. On admission, abdominal exam was unremarkable, blood pressure was 110/77 mmHg, heart rate 103/min, Temperature 99.8 °C, Respiratory rate 20 per minute, hemoglobin 11.1 [...]