Case Presentation: A 32-year-old man with AIDS (CD4 count 45) presented to the emergency department for altered mental status. More specifically, he reported 5 days of severe bitemporal headache, fatigue, memory disturbance, blurry vision, dizziness, and subjective fevers. His review of systems was also positive for acute-on-chronic diarrhea and a diffuse rash. Given his diagnosis [...]

Case Presentation: A 21-year-old male with end-stage renal disease for 3 years (cause unknown) presented to the hospital with a 19lb weight loss (10% of body weight) over 2 months. Exam was notable for jaundice, diffuse abdominal tenderness, and innumerable purple, papular lesions covering his body, which he had noticed for 8 months. Labs revealed [...]

Case Presentation: AH is a 74-year-old male with end stage renal disease, who received a living donor renal transplant in 6/2013. Following transplant AH had immediate graft function. His maintenance immunosuppression was tacrolimus and prednisone. Post transplant course was notable for the development of glomerulopathy, resulting in CKD III, complicated by chronic hyperkalemia, in part [...]

Case Presentation: A 94-year-old woman with a history of atrial fibrillation (not on anticoagulation), coronary artery disease, and metastatic lung adenocarcinoma (on Osimertinib) presented following a syncopal episode, which was complicated by a left thigh hematoma. On admission, she was hemodynamically stable, although her bloodwork was concerning for disseminated intravascular coagulation (DIC) including a hemoglobin [...]

Case Presentation: A 20-year-old Guyanese female of Indian descent presented with a five-day history of fever and left upper quadrant abdominal pain, associated with abdominal distension. Physical examination was remarkable for fever of 103F, conjunctival icterus, left upper quadrant tenderness, and splenomegaly. Laboratory data revealed hemoglobin (Hb) of 6.5g/dl, mean corpuscular volume (MCV) 64.8fl, mean [...]

Case Presentation: A 30 year-old female with AIDS presented with three weeks of headache, dry cough, odynophagia, vomiting, fatigue and weight loss. She had a history of cryptococcal meningitis requiring lumbo-peritoneal drain four years prior but was lost to follow up, with non-adherence to maintenance and antiretroviral therapy. She had normal vital signs and appeared [...]

Case Presentation: We present a 48-year-old Caucasian female with a past medical history of breast cancer, status post-mastectomy, admitted for a month of abnormal uterine bleeding, secondary to fibroids; continued blood loss led to acute kidney injury. Retroperitoneal ultrasound showed multiple cysts of various sizes throughout both kidneys with left renal enlargement consistent with ADPKD; [...]

Case Presentation: 62-year-old man with recent hospitalization for septic shock due to toe osteomyelitis,complicated by severe C. difficile infection requiring fecal transplant 3 weeks prior to admission,presenting with confusion,right-sided weakness,and ataxia.Symptoms were first noted 2 weeks after the fecal transplant and consisted of depressed mood and right shoulder weakness.Neurological exam was notable for neglect of [...]

Case Presentation: A 69 year-old man with history of high-grade invasive urothelial bladder cancer post tumor resection on Bacillus Calmette-Guérin (BCG) treatment and renal cell carcinoma post left partial nephrectomy presented with high-grade fever, night sweats, rigors, and lower abdominal pain for 2 weeks. The last BCG instillation, of 11 total, was 17 days prior [...]

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 [...]