Case Presentation: A 42-year-old African American woman with a history of hypertension, morbid obesity, and obstructive sleep apnea presented to the emergency department with a 12-hour history of left-sided abdominal pain, nausea and vomiting. At presentation her medications included hydrochlorothiazide, acetaminophen, ibuprofen, and lisinopril. Her first dose of lisinopril 5mg was 12 hours before the [...]

Case Presentation: A 25 year old male with history of recurrent left seminoma, on Cycle one and Day 15 of bleomycin, etoposide, and platinum (BEP) combination chemotherapy admitted from infusion center reporting new onset of dry cough, shortness of breath, solid food odynophagia and dysphagia. Symptoms began suddenly after a meal of chicken with rice. [...]

Case Presentation: In September 2021, a 53-year-old male with a BMI of 30.91 and no history of alcohol use was diagnosed with advanced prostate cancer, indicated by a PSA level of 111. A transrectal ultrasound-guided prostate biopsy revealed Gleason score 4+5 prostate adenocarcinoma. In February 2022, the patient initiated treatment with Androgen Deprivation Therapy (ADT) [...]

Case Presentation: A 36-year-old man presented with a one-month history of fevers, night sweats, low back pain, and an enlarging nodule on his back. Physical exam revealed left axillary adenopathy, diminished breath sounds at bilateral bases, and an irregularly shaped 10 cm pigmented lesion (image 1) on his left posterior hemithorax. Labs were notable for [...]

Case Presentation: A 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was [...]

Case Presentation: The patient is a 56-year-old Caucasian male who presented from an outside hospital (OSH) for recurrent chylous ascites. Four years ago, he was diagnosed with unprovoked left subclavian and left internal jugular deep vein thromboses (DVTs) and had been placed on chronic warfarin therapy. At that time, he developed chylous ascites which resolved [...]

Case Presentation: We present the case of a 67-year-old female with a history of GERD, diabetes, and remote breast cancer treated with lumpectomy, radiation, and tamoxifen who presented with one-month of persistent abdominal distension associated with anorexia, nausea, vomiting, and shortness of breath. In addition, she had one episode of severe epigastric pain that radiated [...]

Case Presentation: Pyroglutamic acid (5-oxoproline) is a rare cause of metabolic acidosis most often associated with sub-acute or chronic acetaminophen intake in the presence of unique risk factors. Discussion: A 25-year old female with Crohn’s disease presented with one month of worsening abdominal pain, diarrhea, and anorexia with reported 20 kg weight loss. She developed [...]

Case Presentation: Our patient is 78-year-old female with a history of mitral regurgitation, left ventricular outflow tract obstruction (LVOT) with systolic anterior motion (SAM) of mitral valve, migraines, and hypertension presented with lightheadedness. She had increased blood pressure at her recent office visit few weeks back necessitating an increase in dosage of verapamil. At presentation, [...]

Case Presentation: A 50-year-old male with a history of hypertension, hyperlipidemia, and mitral valve prolapse presented to the ED per ophthalmology for further evaluation after 2 weeks of progressive bilateral vision changes, floaters, eye redness, and pain. On his initial presentation to eye clinic, he was diagnosed with bilateral panuveitis and managed with hourly prednisone [...]