Case Presentation: 46 year old male with HTN presented to our facility with frequency, difficulty urinating and dribbling. Imaging revealed urinary retention, multiple 1mm non-obstructing renal calculi, lytic lesions in the axial skeleton, and numerous cysts within the kidneys, compatible with long standing kidney disease. Despite relief of obstruction via bladder catheterization, minimal renal improvement [...]

Case Presentation: A 44-year-old male with a history of opioid use disorder and intravenous drug use (IVDU) presented to the emergency department with chest pain and malaise. On presentation, his temperature was 103.3 degrees Fahrenheit, blood pressure was 86/58 mmHg, and heart rate was 157 beats per minute. The initial electrocardiogram showed multi-lead ST-elevations and [...]

Case Presentation: A 70-year-old male presented with a low-grade fever, progressive weakness and urinary frequency. Prior to this admission, he had a diagnosis of recurrent urinary tract infection (UTI) that was treated with antibiotics. A CT scan of his abdomen and pelvis, performed out of concern for an abscess, revealed right-sided ureterohydronephrosis. A stent was [...]

Case Presentation: A 60-year old male gardener presented with generalized body aches, night sweats, chills, malaise, fevers and headache (frontal and occipital) intermittently for a month. He reported abdominal pain, dyspnea, joint stiffness and myalgia. Around 2 weeks prior, the pain intensified and he received a treatment for upper respiratory infection with azithromycin. He finally [...]

Case Presentation: A 74-year-old gentleman presented with right upper quadrant pain, nausea, fever, and chills for one-week duration. Initial workup showed simple hepatic cyst and subsequently was discharged with oral antibiotics. The patient returned a week later for persistent right upper quadrant pain and high-grade fevers. No prior history of jaundice, weight loss, intravenous drug [...]

Case Presentation: A 54-year-old woman with a history of uterine fibroids developed six weeks of progressive abdominal swelling and unintentional weight loss. Initial supportive care at an outside clinic failed to relieve symptoms. A month later, abdominal CT scan demonstrated extensive peritoneal carcinomatosis with bulky retroperitoneal adenopathy, moderate intra- and extrahepatic ductal dilatation, featureless pancreas, [...]

Case Presentation: A 27-year-old man with metastatic gastroesophageal junction adenocarcinoma presents with five weeks of progressively worsening bilateral thigh pain. Admission exam is notable for a normal neurological exam. Labs are notable for CSF with malignant cells. Brain and spine MRI reveal diffuse leptomeningeal carcinomatosis. During his hospitalization, the patient develops dizziness and leg weakness [...]

Case Presentation: 52-year-old male presented with six-week history of unintentional weight loss, decreased appetite and non-radiating dull suprapubic pain. Review of systems was notable for constipation, polyuria, polydipsia, nausea, and left leg swelling. No family history of cancer or blood dyscrasias. Physical examination revealed blood pressure- 194/114 mmHg, heart rate -105, distended abdomen with hypoactive [...]

Case Presentation: 69-year-old male with past medical history of sarcoidosis was found to have a positive quantiferon gold on outside labs and thus presented to the hospital for TB rule-out. On presentation, patient reported generalized fatigue, weakness and mild shortness of breath for the past year and denied fevers, chills, night sweats, or weight loss. [...]

Case Presentation: The patient is a 43 year old woman with Hashimoto’s thyroiditis, Addison’s disease, and ovarian cysts who presented with days of focal right lower quadrant pain and one day of nausea, vomiting, and fever. She had no diarrhea, hematochezia, dysuria, or urinary frequency/urgency. She had doubled her maintenance glucocorticoid dose as instructed when [...]