Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems was negative. Vitals signs were normal. Abdominal exam was remarkable for distension and left lower quadrant tenderness with no rebound [...]

Case Presentation: A 55-year-old female with a history of metastatic left renal cell carcinoma to the left hemipelvis status post nephrectomy and immunotherapy, and generalized anxiety disorder presented for chronic diarrhea described as over 10 episodes of large volume watery stools daily persisting with fasting and associated with cramping abdominal pain. She reported that previous [...]

Case Presentation: A 21-year-old male with no prior medical history presented with progressive dyspnea and bilateral lower extremity edema that began four months prior. On exam, he had JVD to the mandible, positive hepatojugular reflux, a harsh grade III/VI systolic murmur at the right lower sternal border, pitting edema to the hips, and an erythematous [...]