Case Presentation: An 80- year old immunocompetent Vietnamese man with hypertension, atrial fibrillation, and prostate cancer in remission was admitted for progressive vision loss and headaches. 6 weeks before presentation he began to have persistent, disabling left fronto-temporal headaches. 2 weeks prior he developed sudden left sided vision loss. Outpatient left temporal artery biopsy was [...]

Case Presentation: 68 y/o female presented with symptoms of headache, lightheadedness, visual changes, nausea and fatigue have been ongoing for 7 years but headache specifically has been more persistent over the last few months. She reported the headache to be localized to the left side, temple, behind the eye and sometimes across the front and [...]

Case Presentation: Two patients developed tongue necrosis as an unusual presentation of giant cell arteritis (GCA).Case 1:A 61-year-old female presented with a one month history of painful swelling and ulceration of her tongue with weight loss. She received a punch biopsy of her tongue that showed ischemic, necrotic, and autolytic changes. After large areas of [...]

Case Presentation: A 65-year-old woman with history of hypertension and diabetes mellitus presented to ER with 3-day worsening abdominal pain that she was experiencing for about 4 months. Pain was sharp, mainly in periumbilical region and lower abdomen, associated with several episodes of vomiting, non-bloody diarrhea for two days, weakness and myalgia. On examination, she [...]

Case Presentation: A 60-year-old female with a history of tobacco use disorder, laryngeal cancer status post chemotherapy and radiation, hyperlipidemia, and hypertension presented with tongue pain. Ten days before her presentation, she developed a small painful blister on her tongue, which was associated with difficulty eating and drinking. She decided to come to the hospital [...]

Case Presentation: An 80-year-old female was admitted with sudden right-sided weakness, expressive aphasia and left partial loss of vision. She denied preceding temporal tenderness, jaw claudication, headaches, history of tick bites, and new rashes. While her weakness and aphasia resolved within an hour, her vision impairment persisted. Initial CT and MRI scans showed no acute [...]

Case Presentation: A 38-year-old African male with no medical history presented to the emergency department with chronic, intermittent epigastric abdominal pain. Physical exam revealed a diminished left radial pulse but was otherwise unremarkable. Labs were notable for an elevated C-reactive protein (CRP) to 23.7 mg/L (normal

Case Presentation: Case presentation:A 56 year-old caucasian man with no significant past medical history presented to our center with acute left upper quadrant abdominal pain. CT angiography of the thorax was performed to rule-out pulmonary embolism which showed thickening and enhancement of the splenic and hepatic arteries without aneurysmal dilatation. To evaluate this further, a [...]

Case Presentation: A 22-year-old female presented to the hospital with worsening pain and weakness in her left lower extremity. The patient reported non-healing ulcerations along her left leg and foot for the past month that she initially attributed to a bug bite while in the woods. She originally presented to an outside hospital and was [...]

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 [...]