Case Presentation: H.C. was admitted to the hospital at 7 weeks of age for failure to thrive. Patient is an ex 37 6/7 weeker, BW was 1.84 kg (0.02%, Z=-3.57), and was induced due to IUGR and oligohydramnios. H.C had an uneventful newborn nursery stay and normal newborn screen. On admission, weight was 2870 g, [...]

Case Presentation: A 61 year old woman presented to the hospital with dyspnea and chest pain. She had been gaining weight, and experiencing night sweats and lower extremity swelling for several months. She had a 30 pack year smoking history. Physical examination revealed fingernail clubbing, 1+ pitting edema, and a blood pressure of 220/97—despite taking [...]

Case Presentation: A 62-year-old male with a history of type 2 diabetes mellitus, incidental left adrenal adenoma (3 cm), and resistant hypertension presented to the hospital with diffuse weakness, refractory hypokalemia, and hyperglycemia. Evaluation of his adrenal adenoma about a year prior had shown low serum aldosterone levels (in the setting of lisinopril use) and [...]

Case Presentation: A 55 year old Caucasian male presented to the emergency department with two weeks of palpitations and chest pain. He experienced intermittent chest pressure and palpitations that were worse while lying down. He denied recent change in weight, skin changes, or SOB. He had a 45 pack-year smoking history, having quit two years [...]

Case Presentation: An 80-year-old female with a history of type 2 diabetes mellitus presented with progressively worsening ataxia and left-sided weakness for 6 months. She had no symptoms attributable to bradycardia and was not taking AV nodal blocking medications. Examination revealed mild left hemiparesis and ataxic gait, with a heart rate of 40 beats/min but was otherwise unremarkable. [...]

Case Presentation: A 29-year-old Japanese man who attended to an orthopedist in an outside hospital with multiple fractures of rib bones and a compression fracture of vertebral bones was referred to our hospital for further investigation for the tentative diagnosis of rheumatoid arthritis worried about increased serum level of matrix metalloproteinase-3. In advance of the [...]

Case Presentation: Headache is one of the most common complaint of patients, yet over 65% of patients with tension-type headaches don’t present to their primary care doctor. When it’s not just a typical headache is when it’s imperative to make the diagnosis early to prevent detrimental complications. A 46-year-old-male presented with a chief complaint of [...]