Case Presentation: An 81-year-old man with a history of heart failure (HF) and recent diagnosis of an ileocecal mass with associated bulky lymphadenopathy and peritoneal carcinomatosis (Figure 1) presented to the emergency room with decreased appetite, abdominal pain, and worsening abdominal distention. Upon arrival, the patient was afebrile and hemodynamically stable. Physical examination was remarkable [...]

Case Presentation: A 45-year-old male with a history of smoking and hypertension presented to his primary care provider for progressive left-sided pleuritic chest pain without night sweats or fever and reported 2 months of intentional weight loss with diet and exercise. He was sent for an outpatient CT which revealed splenomegaly of 16x19cm with possible [...]

Case Presentation: A 49 year old Hispanic male presented with epigastric abdominal pain for 2 months, nausea and vomiting without a significant past medical history. He rarely consumed alcohol and denied any recent trauma. He presented one month earlier with similar symptoms and due to noted cholelithiasis on abdominal ultrasound, he was diagnosed with gallstone [...]

Case Presentation: A 42 Y/O AAM with PMH of polysubstance abuse presented to ED with 2 weeks of worsening vertigo, headache, left facial weakness, blurred vision and new onset dysphagia. Physical exam was notable for complete left facial (VII) palsy, left abducence (VI) palsy and umbilicated facial rash. MRI of head revealed a 2.6×2.6×3.9 cm progressive brain lesion at [...]

Case Presentation: A 57 years old man with a history of prediabetes and Lyme disease diagnosed two months prior to admission and treated with doxycycline for three weeks, was transferred from another hospital to our institution for recurrent high grade fevers and shaking chills for two months. Originally from Guatemala, he had lived in America [...]

Case Presentation: A 43-year-old male with a history of diffuse large B-cell lymphoma (DLBCL) in remission for 2 years after chimeric antigen receptor (CAR) T-cell therapy presented to his PCP with headaches and a mild cough. A PCR COVID-19 test was positive, a head CT showed cerebral edema, and MRI had diffuse dural thickening without [...]

Case Presentation: A 60-year-old male presented with one week of new onset fevers and fatigue. Past medical history included primary sclerosing cholangitis, orthotopic liver transplant 12 years ago and Epstein-Barr virus (EBV) negative post transplant lymphoproliferative disease (PTLD) with partial response to single-agent Rituximab treatment one-year prior.The patient reported debilitating fatigue, daily low-grade fevers, night [...]

Case Presentation: 78 y/o M with past medical history of Diabetes Mellitus type 2, Dyslipidemia ,RCC s/p partial nephrectomy presented with altered mental status. Symptoms started with fatigue, generalized weakness, SOB, 18-20 pound weight loss, constipation ,loss of appetite and confusion that started 1 month ago. Patient appeared frail, was not oriented to time, place [...]

Case Presentation: Implanted central venous port catheters (ports) are widely used for chemotherapy, total parenteral nutrition and blood monitoring. If placed in the subclavian vein, up to 15% of patients who receive implanted ports have immediate complications, including venous injury, pneumothorax and pneumomediastinum. Long-term ports are associated with delayed complications, including thrombosis, occurring in 1.9-21.5% [...]

Case Presentation: A 48 year-old male presented Landstuhl Regional Medical Center with epigastric pain and fevers that had progressed to pain in the right lower quadrant. He lived in Cameroon until 30 years old and had recently deployed to West Africa. Computed Tomography (CT) of his abdomen demonstrated thickening of his right colon with extra-luminal [...]