Case Presentation: A 67 year old woman presented with right upper quadrant abdominal pain and was diagnosed with acute cholecystitis. She underwent elective cholecystectomy, complicated by Clostridium difficile colitis. Despite treatment with oral Vancomycin, she had persistent diarrhea and failure to thrive for a month. Repeat Clostridium difficile toxin was negative. Esophagogastroduodenoscopy showed erosive gastritis [...]

Case Presentation: 62-year-old male with a PMH notable for recurrent epistaxis, bleeding post-dental procedures & IDA since childhood on & off oral iron supplementation presented to the hospital with a traumatic head injury resulting in a SAH/SDH. Initial laboratory work found normocytic anemia & severe thrombocytopenia (TCP) – 25 X 10E+09/L . CT abdomen & [...]

Case Presentation: 35 year old woman, diagnosed with biopsy proven sarcoidosis, developed a complex clinical course over time. She started experiencing recurrent watery diarrhea, accompanied with abdominal pain and generalized weakness. Physical exam revealed thin chronically unwell female, with BP of 115/76 | pulse 94 | temperature 97.7 °F (oral) | respiratory rate 16/minute | [...]

Case Presentation: A 42-year-old man presented to his primary care clinic with five weeks of diarrhea with up to 8 loose, watery stools a day and cramping abdominal pain. On exam patient was well appearing, with normal vital signs, no abdominal tenderness or distention. Laboratory evaluation revealed a hemoglobin of 12.4 g/dL, albumin of 3.3 [...]

Case Presentation: A 69-year-old female presented to the Emergency Department with progressive weakness, nausea, vomiting, diarrhea, abdominal pain, and confusion for several weeks following an eye surgery the month prior, with symptoms acutely worsening over the last week. On the day of admission, she was found disoriented and clinging to a doorway at home, unable [...]

Case Presentation: A 20 year old male with past medical history of Type 1 Diabetes and Hypothyroidism presented to our hospital with severe hypocalcemia. His calcium was 5.8 mg/dl (normal range 8.6-10.3 mg/dl). His ionized calcium was 0.76 mmol/L (normal range 1.15-1.33 mmol/L). He had been complaining of generalized weakness for couple of weeks. Both [...]

Case Presentation: A 20-year-old man with type 1 diabetes, hypothyroidism, and hypomagnesemia presented for evaluation of hypocalcemia. Patient reported progressive lack of motivation and depression. He developed lower extremity swelling and abdominal distention over the past 3 months. He denied fatigue, heat or cold intolerance, weight change, polydipsia, polyuria, chest pain, palpitations, shortness of breath, [...]

Case Presentation: Our patient is a 13 year old female with a 3-year history of celiac disease who presented to an outside facility with three days of fever, myalgias and RUQ pain. She had no stool changes, nausea or vomiting. Initial lab work was notable for a lipase of 1100, bilirubin of 4.9, AST of [...]