Case Presentation: An 18-year-old female with no significant medical history presented to the hospital with diffuse abdominal pain and jaundice for 2 weeks, associated with nausea, non-bloody vomiting, and subjective fevers. The patient was treated for exudative tonsilitis 2 weeks earlier and had taken 6 grams of acetaminophen over 48 hours before presentation to the [...]

Case Presentation: A 67-year-old male with history of alcohol abuse and chronic hyponatremia related to beer potomania presented to hospital with nosebleed and coincidently found to have hyponatremia of 118 meq/L and hypokalemia of 3.3 meq/L. He was treated with fluid restriction, Lasix 20 mg and sodium chloride 2 gm daily. Upon outpatient follow up [...]

Case Presentation: A 55-year-old woman with a history of hyperlipidemia and hypothyroidism presented with a one month of proximal muscle weakness in her arms and legs, and ten-pound unintentional weight loss. Eight months earlier, routine labs showed mild elevations in ALT and AST levels to ~90. Her atorvastatin was discontinued; however, her liver enzymes continued [...]

Case Presentation: A 76-year old man presented to emergency department for 2-week history of right buttock pain, swelling, and drainage. On presentation, he had a temperature of 101.3 F, otherwise hemodynamically stable. Physical examination revealed right buttock erythema and serosanguinous purulence (figure). There were no cardiac murmurs. Leukocytes count was within normal limits. CT abdomen [...]

Case Presentation: 68-year-old male with a history of recurrent angioedema, complicated by intubation, presented to the emergency room (ER) for progressive tongue swelling and dyspnea prior to arrival. He was on aspirin 81 mg for years with a recent addition of cilostazol for peripheral artery disease. Physical exam was significant for tongue and lip swelling. [...]

Case Presentation: A 69 year old male with no past medical history presented to the hospital with significant generalized pruritus. 3 weeks prior to presentation, the patient started taking a daily dose of a turmeric supplement. About a week later, he began developing a slow but progressive generalized pruritus, scleral icterus, pale stools, darkening urine [...]

Case Presentation: 82-year-old female with atrial fibrillation, non-ischemic cardiomyopathy (EF 25%), rheumatoid arthritis, bed bound at home with hospice care presents for acute encephalopathy and tachycardia. Patient’s son (the primary caregiver) reported that patient is on four drops of oral 1% atropine solution daily for bronchorrhea. Accidentally a family member who is not a primary [...]

Case Presentation: A 29-year-old male with a history of Crohn’s Disease controlled on Humira presented with two weeks of fever and fatigue. His review of systems was notable for mild left flank pain and nasal congestion. Blood work revealed a white blood cell count of 14.3 (76% neutrophils) and a CRP of 171.2. Initial infectious [...]

Case Presentation: Spontaneous renal artery dissection (SRAD) is a rare disorder that has been reported to occur in middle-aged men. It often presents similar to nephrolithiasis, making it’s presentation non-specific and easily missed. Including SRAD in the differential for renal colic type-pain is important to decrease morbidity and improve the chance of renal recovery. Discussion: [...]

Case Presentation: A 58-year-old woman presented with abdominal pain, nausea, and oral intolerance. Her vitals were stable on admission, but physical exam revealed a distended abdomen with tenderness to palpation in the left lower quadrant and an absence of bowel sounds. Her laboratory results were remarkable only for a hemoglobin of 8.1, which appeared chronic. [...]