Case Presentation: Case 1: A 66 year old female presented in October 2017 with generalized weakness, fatigue, abdominal pain, and oliguria. The symptoms have been worsening since her abdominal endovascular aneurysm repair (EVAR). She had her EVAR done in August 2017. In the Emergency Room the patient was afebrile with a temperature of 36.4 C, [...]

Case Presentation: 76-year-old male with a recent diagnosis of low-grade MDS presented to the hospital with complaints of severe fatigue, anorexia, abdominal pain and a 60 pound weight loss over six months. He also had a history of right foot drop 2 months prior with unclear etiology. He was subsequently hospitalized 1 month before presenting [...]

Case Presentation: A 34-year old male with no past medical history presented to the emergency room with 1 day of low back pain associated with fever and chills.  He reported the pain as constant and 10/10 in severity, partially relieved by ibuprofen. He denied any trauma. There was no loss of bowel or bladder function [...]

Case Presentation: An 87-year-old Caucasian male with a history of benign prostatic hyperplasia presented to the hospital with urinary incontinence, abdominal discomfort, and altered mentation. The patient required hospitalization for worsening symptoms. On admission, he was hypotensive (BP of 88/55 mmHg), tachycardiac (143 b/min), respiratory rate of 20 bpm, and temperature of 96.3° F. Pertinent [...]

Case Presentation: A 73-year-old female with coronary artery disease, biventricular systolic heart failure requiring implantable cardiac defibrillator (ICD), paroxysmal atrial fibrillation (A-fib) treated with amiodarone for 2 years presented with abdominal pain, nausea, loss of appetite for 1 month. She also reported a recent ICD discharge. Initial vital signs were remarkable for a blood pressure [...]

Case Presentation: A previously healthy 42 year-old man was admitted with acute abdominal pain. He described onset of periumbilical pain on the morning of admission, resolving after an episode of non-bloody, non-bilious emesis. Later that day, he developed a severe, sharp, constant and non-radiating left lower quadrant pain associated with emesis. He denied fevers, chills, [...]

Case Presentation: A 53-year-old Filipino woman with a history of lupus nephritis status post renal transplantation presented with 1 month of the right upper quadrant (RUQ), lower abdominal pain and a new fever. Her RUQ pain radiated to her back and worsened after meals, while her lower abdominal pain had no clear triggers. She reported [...]

Case Presentation: A previously healthy 13-year-old female presented to a pediatric emergency department with 5 days of abdominal pain, emesis, headache, arthralgia, and fever. Vital signs included temperature of 100.2 F, heart rate of 122 beats/minute, normal blood pressure for age, and oxygen saturation of 99% on room air. She was ill appearing with bilateral [...]

Case Presentation: A previously healthy, 7-year-old girl presented to the emergency department with intermittent episodes of achy abdominal and right-sided flank pain for one month. The patient’s mother endorsed pain severe enough to wake the patient from sleep, as well as occasional constipation, and an associated 12-lb weight loss over the previous six months. On [...]

Case Presentation: 62-year-old male presenting to the hospital for left sided abdominal pain. His past medical history is significant for chronic obstructive pulmonary disease (COPD) requiring six liters of oxygen via nasal cannula daily, hypertension and hyperlipidemia. He states that he had a cough attack and then proceeded to have sudden onset of severe left [...]