Case Presentation: A 60-year-old female with a history of tobacco use disorder, laryngeal cancer status post chemotherapy and radiation, hyperlipidemia, and hypertension presented with tongue pain. Ten days before her presentation, she developed a small painful blister on her tongue, which was associated with difficulty eating and drinking. She decided to come to the hospital [...]

Case Presentation: A 26 year old male with a prior history of asthma, DVT, and PE presented to the ER with severe, constant, pressure-like, left sided chest pain after smoking K2 the night before. The pain was associated with palpitations and shortness of breath. Initial vital signs demonstrated a heart rate of 104 bpm and a [...]

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 46-year-old previously healthy female, presented to the hospital for left leg pain and swelling. She was febrile and tachycardic. Examination showed abdominal distension with a palpable firm, nontender lower abdominal mass, left lower extremity tenderness, nonpitting edema extending to upper thigh, mottled skin, and diminished pulses. Doppler showed totally occluded DVT of [...]

Case Presentation:  A 66-year-old woman with a history of hypertension and type 2 diabetes mellitus presented to an outside hospital with persistent nausea and vomiting, a 45 pound weight loss, and dysphagia over a 4-week period. In addition to the new diagnosis of atrial fibrillation, esophagogastroduodenoscopy identified a lesion in the gastric cardia concerning for [...]

Case Presentation: A 52-year-old male with hypertension, sleep apnea, and polycythemia presented to an outside hospital for abdominal bloating and pain with emesis for 2 weeks. Labs showed WBC up to 26k/µl, AST of 166, ALT of 155, and total bilirubin of 2.8 mg/dl with normal range lipase and lactate. Initial CT abdomen pelvis (CTAP) [...]

Case Presentation: A 69-year-old man presented with acute onset abdominal pain during hemodialysis. He had a history of end stage renal disease and extensive vascular disease, including coronary artery disease, peripheral arterial disease, and an abdominal aortic aneurysm. One hour into dialysis, he developed epigastric, burning, ten-out-of-ten abdominal pain that radiated to his back. He [...]

Case Presentation: A 22 year-old male presented to the emergency department with a three week history of abdominal pain which occurred typically within an hour after meals. This had worsened over the past four days and was associated with poor appetite, nausea, vomiting, and loose bowel movements. The pain had been non-responsive to acid suppression [...]

Case Presentation: A 71-year-old man with type 2 diabetes mellitus, hypertension, coronary artery disease, and peripheral arterial disease presented with worsening bilateral lower extremity pain which started two days prior to admission. Physical exam revealed cold and pale lower extremities, tenderness, and absence of pulses on both lower limbs but no edema or ulceration. Range [...]

Case Presentation: We present the case of a 74-year-old female with a past medical history of colon cancer status post left hemicolectomy who presented with severe abdominal pain for the past six hours associated with non-bloody loose stools. She was tachycardic but hemodynamically stable. The abdomen was soft and non-tender with hypoactive bowel sounds. However, [...]