Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional [...]

Case Presentation: A 68-year-old male with neurogenic bladder requiring self-catheterization, atrial fibrillation on coumadin, and osteoarthritis on chronic ibuprofen presented with lower extremity weakness after a fall. He was found to have a supratherapeutic INR of 6.6 and temperature of 39°C. Laboratory work showed leukocytosis to 15.5 th/mm3 and urinalysis with 3+ leukocyte esterase and [...]

Case Presentation: A 46 year-old male from India presented with acute epigastric abdominal pain, dysphagia, decreased appetite, nausea, and generalized weakness. This case starts 6 months prior to admission when he was found to have an elevated creatinine at a routine primary care visit. Subsequently, due to worsening kidney function, a kidney biopsy was performed [...]

Case Presentation: An 82-year-old woman with a history of cirrhosis (unknown underlying etiology) and intermittent travel to Mexico presented to the emergency room with two weeks of abdominal pain, which included two episodes of hematemesis. She appeared thin, with low muscle mass, and her abdominal examination revealed distension, tenderness, ascites, and a fluid wave. Vitals [...]