Case Presentation: 61-year-old male presented with fatigue, dizziness and epigastric discomfort. Patient was noted to be anemic on lab investigations. Patient underwent a CT scan of the abdomen and pelvis which demonstrated a 4.7 x 4.6 cm mass in the anteromedial stomach distal to GE junction. There was also a 1.8 x 1.5 cm structure [...]

Case Presentation: We describe a 59-year-old male patient with a medical history of coronary artery disease, multiple sclerosis, chronic obstructive pulmonary disease, and ischemic stroke. He presented with symptoms including fever, altered mental status, and a rapid heart rate. Initial assessments revealed an elevated white blood cell count, lactic acidosis, acute kidney injury, and signs [...]

Case Presentation: A 60-year-old male presented to the emergency department with a one day history of emesis, dysphagia, and odynophagia. He endorsed pain in the middle thoracic esophageal region which was worse with swallowing. Initially, his emesis was non-bloody, then subsequent episodes resulted in small amounts of bright red blood. Past medical history was pertinent for alcohol [...]

Case Presentation: A 53 year old man with a history of stage III squamous cell carcinoma (SCC) of the esophagus (pT3N3) was admitted for dysphagia and found to have a mandibular mass and a painful finger nodule. The patient initially presented to an outside hospital four months prior with dysphagia and weight loss. He was [...]

Case Presentation: Acute esophageal necrosis (AEN) is a rare condition which presents as acute-onset gastrointestinal bleeding. AEN is associated with vasculitis, coronary artery disease, malignancy, and other conditions which impair maintenance of the esophageal protective barrier. Complications of AEN include esophageal rupture, perforation, stricture formation, and mediastinitis. A 64-year-old Caucasian female with an extensive past [...]

Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history of hematemesis associated with midsternal chest pain. He reported taking a nifedipine tablet, which felt like it was “stuck in [...]

Case Presentation: A 58-year-old man with a history of hypertension, type 2 diabetes with non-adherence to insulin, GERD, and daily alcohol use presented to the emergency department for three days of epigastric abdominal pain and vomiting. He had previously experienced two months of worsening nausea and epigastric fullness with eating accompanied by a 30-pound unintentional [...]

Case Presentation: 39-year-old male with history of previously treated TB meningitis 15 years ago, chronic hydrocephalus who received endoscopic third ventriculostomy few months ago, presented again with headaches and was found to have hydrocephalus. Patient received Ventriculoperitoneal shunt placement and CSF was obtained after the procedure. CSF studies showed (216-WBCs lymphocytic predominant fluid 81 %), [...]