Case Presentation: A 71-year-old man presented with pus from the umbilicus. Past medical history was pertinent for persistent urinary tract infection for a month, complicated by feculent urine and pneumaturia despite two rounds of antibiotics, and 20-lb weight loss. He was found to have purulent drainage from the umbilicus. Lower abdomen was tender without rebound [...]

Case Presentation: A 45 year-old Cambodian female with no past medical history presented to the clinic with a mild cough. Her medical history was notable for never smoking, occasional alcohol use, and no recreational drug use. She had no known occupational exposures and no family history of malignancy. Initial treatment for gastroesophageal reflux disease and [...]

Case Presentation: A 78-year-old dialysis-dependent man with a history of end stage renal disease, hypertension and cerebrovascular accident was evaluated for diffuse abdominal pain and altered mental status for one day. The examination was pertinent for generalized weakness and altered sensorium. Laboratory tests revealed transaminitis and leukocytosis. Computed tomography (CT) of the abdomen and pelvis [...]

Case Presentation: A 34-year-old woman with history of celiac disease presented with diffuse abdominal pain for 3 days. She also experienced nausea and decrease appetite. There was nonspecific abdominal tenderness upon examination. Lab showed abnormal liver function test: alkaline phosphatase (561 U/L), GGT (632 U/L), ALT (149 U/L), AST (91 U/L), bilirubin (0.5 mg/dL). Abdominal [...]

Case Presentation: This is an 81 years old man presented with unintentional weight loss of 30 pounds in a year. He had history of diabetes type II and 20-pack-year smoking history. Extensive workup at the primary care clinic was unremarkable. CT of chest, abdomen and pelvis identified multiple lung mass, lymphadenopathy and an ill-defined pancreatic [...]

Case Presentation: A 27-year-old man without significant medical history presented with constipation and weight loss of 25 pounds in 2 months. A digital rectal examination revealed a fungating mass in the rectum. CT abdomen/pelvis showed the presence of a large intraluminal rectal mass measuring 6.8 X 5.8 X 6.3 cm with no evidence of metastasis. [...]

Case Presentation: A 71-year-old African American male presented to the emergency department due to chest pain, fevers and shortness of breath with associated dry cough. The symptoms progressively worsened since onset one month prior to admission. He was HIV negative with a history of Stage IV (T2a N2 M1a) lung adenocarcinoma diagnosed one year ago [...]

Case Presentation: A 54-year-old male with history of cocaine and marijuana abuse presented to the emergency room (ER) with a few-hour history of dizziness and abdominal pain. He also reported a two-month history of intermittent right upper jaw pain that he was treated for presumed gingivitis with analgesics and antibiotics. In the emergency department, vital signs [...]

Case Presentation: A 52 year-old man was hospitalized for hypoxia one month after surgery for ruptured appendicitis. He also reported abdominal pain and steatorrhea along with a 50 pound weight loss in five months. On exam he was anicteric but cachectic. CT pulmonary angiogram on admission revealed peripheral-based pulmonary lesions concerning for septic emboli and [...]

Case Presentation: A 55-year-old female who is G2P2 with past medical history of diabetes mellitus and who experienced menopause at 50, presented to an outside outpatient care facility with a one-month history of intermittent abdominal pain. The patient was sent home with the assumption that it was a case of left sided diverticulitis and was [...]