Case Presentation: A 55-year-old woman presented with abdominal pain and intractable nausea without constitutional symptoms. Abdominal CT showed duodenal obstruction and hydronephrosis. She underwent two EGD/EUS with benign duodenal and celiac lymph node biopsies. Small bowel follow-through revealed near complete obstruction at the level of the duodenum. Abdominal MRI demonstrated a soft tissue mass-like density [...]

Case Presentation: An 84-year-old male with a PMH of CAD, atrial fibrillation and BPH presented to the ED due to night time vision loss and jaundice. Patient stated one month prior to presentation he noticed difficulty with vision at night while driving. One week prior to presentation, patient’s family noticed new-onset jaundice. Upon presentation, patient [...]

Case Presentation: A 61-year-old man with no notable health history was admitted to the hospital for a month-long history of dysphagia and weight loss. The patient had been in his usual state of health until around six months ago when occasional back pain developed, which he attributed to his prolonged truck-driving. Four months prior to [...]

Case Presentation: A 61-year-old female awoke one morning to thirty minutes of right sided weakness and slurred speech prompting hospital admission for stroke. Treatment with metronidazole and ciprofloxacin for colitis diagnosed two days ago was continued in hospital. Diffusion weighted imaging (DWI) of the brain MRI revealed infarctions in multiple vascular territories involving bilateral cerebral [...]

Case Presentation: A 66-year-old-male presented with painless jaundice. Laboratory tests were consistent with biliary obstruction, Ca 19-9 was 304.3 IU/mL (N: 0.0-35), and CT scan revealed a pancreatic mass with omental metastasis. The patient underwent ERCP with biopsy. Pathology was consistent with pancreatic adenocarcinoma (Figure 1A-B). He underwent a Whipple procedure and completed 12 cycles [...]

Case Presentation: Previously healthy, never-smoker, COVID vaccinated, 45yo male with a history of hypertension presented to urgent care for one month history of shortness of breath on exertion, mild cough, and some weight loss. At urgent care, oxygen saturation was found to be 77% on room air and was transferred to Bronson Hospital for further [...]

Case Presentation: We present a case of a 63 year old man who came in with a left sided neck mass and blue discoloration of his left upper extremity. Patient had left side limb discoloration for a month, he woke up with a large left sided neck mass that prompted him to come to the [...]

Case Presentation: A 71-year-old man presented with 1 week of progressive fatigue and weakness. Upon arrival, he stated that he could not get out of bed, even to use the bathroom. Notably, he had undergone an infusion of carboplatin, pemetrexed, and pembrolizumab for treatment of lung adenocarcinoma 9 days before presenting. He attributed his symptoms [...]

Case Presentation: A 65-year-old man with hypertension presented to his primary care doctor with six months of lower extremity swelling. He also reported dyspnea on exertion, fatigue, unintentional weight loss, maculopapular rash, and foamy urine. Labs revealed hypoalbuminemia, elevated inflammatory markers, and protein-to-creatinine ratio of 3882, raising concern for nephrotic syndrome.He was referred to nephrology [...]

Case Presentation: A 70-year-old man with a past medical history of HIV on antiretroviral therapy, chronic obstructive pulmonary disease, tobacco use disorder, and ischemic cardiomyopathy presented due to 2 weeks of headache and hemoptysis. On review of systems he noted chronic diplopia going on for the last few months. The initial examination did not note [...]