Background: Readmissions after hospitalisation are a healthcare quality indicator and carry considerable financial penalties in some healthcare systems. Internationally, readmission rates at 28 – 30 days for medical inpatients range between 10 – 22%. However there is almost no information available around readmissions for medical inpatients in the Middle East region. We conducted a pilot [...]

Case Presentation: This is a 76 year-old female with no significant past medical history who presented to her primary care physician for evaluation of changes in visual acuity and color perception. Two months after initial presentation she was referred to see an ophthalmologist who noted bilateral papilledema. An MRA, MRV, and MRI were obtained without [...]

Case Presentation: A 12-year-old female presented to the ER with a 1-week history of painful swelling of her right upper back not alleviated by NSAIDs or warm packs. She denied a history of recent trauma or fever. She has a history of surgical removal of a cranial myofibroma at 5 months of age and persistent [...]

Case Presentation: A 65-year-old Caucasian male with history of recurrent pulmonary embolism on chronic warfarin and hypertension was transferred from a nursing home to the hospital for shortness of breath and cough for two days. He was initially treated for healthcare associated pneumonia and later developed clostridium difficile colitis. He was noted to have severe bilateral lower extremity edema, which he [...]

Case Presentation: A 75-year-old male with a history of type 2 diabetes mellitus, atrial fibrillation and hypertension presents to the hospital for evaluation of generalized weakness. He was found to have significant anemia with hemoglobin of 6.5 g/dL. He has had multiple admissions for anemia, and in the last year has required over twenty blood [...]

Case Presentation: An 81-year-old woman with a history of hypertrophic cardiomyopathy (HCM) and prior gastrointestinal (GI) bleeding of unknown origin in 2017 presented with lightheadedness and anemia after undergoing an ERCP the day before. She had multiple episodes of maroon-colored stool and melena while in the ED and was transfused one unit of packed red [...]

Case Presentation: A 71-year-old woman presented with progressive fatigue and two months of dull pain in her proximal extremities. Medical history was significant for depression with psychotic features, well-controlled on fluoxetine and trifluoperazine. Exam demonstrated diffuse non-tender hyperpigmented patches on her back and forearms and proximal extremity tenderness. Labs revealed a hemoglobin (Hb) of 4.1g/dL [...]

Case Presentation: A 42-year-old African-American G8P5 woman with no significant past medical history developed tongue swelling the day after a preterm labor induction due to hydrops fetalis. The swelling initially resolved on the same day and the patient was discharged. However, during the following weeks, her tongue swelled almost every day. By the seventh week, [...]

Case Presentation: 53-year-old postmenopausal Caucasian female presented with low-trauma, recurrent metatarsal fractures. She reports her first metatarsal fracture at age 21, and since then had at least 8 more metatarsal fractures over her lifetime. On further inquiry, she reported history of gait disturbance as a child and dental issues (spacing and loosening). Labs showed normal [...]

Case Presentation: A 54-year-old never-smoker female with hypothyroidism and rheumatoid arthritis on etanercept presented with intermittent hemoptysis. Three days prior, she reported coughing ~100mL of frank blood and clots (Figure 1) over the course of 24 hours, with smaller volumes over the next two days (~50 mL total). She recounted a similar episode of hemoptysis [...]