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 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 [...]