Case Presentation: A thirty-three year old woman with a history of alcohol-induced chronic pancreatitis and sphincter of Oddi dysfunction presented with dyspnea and a non-productive cough. She was admitted to the intensive care unit for acute hypoxic respiratory failure. On arrival, she was febrile and hypoxic, saturating 80% on room air. Labs were notable for [...]

Case Presentation: The patient is a 50-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, heavy alcohol use, and one pack per day tobacco use who presented with epigastric abdominal pain, an episode of hematemesis, and a three-week history of nosebleeds and bloody sputum. After admission, the patient described the pain [...]

Case Presentation: This patient is a 34 year old female presenting to the ED complaining of progressive weakness,SOB, bloody vomitus, and tarry stool. She had PMH significant for established diagnosis of Bean Syndrome. On presentation she was normotensive, 113/72mmHg but tachycardic 102. Labs revealed acute microcytic anemia H/H 6.7/23.6 MVC 70.9 prior to transfusion. She [...]

Case Presentation: A 63-year-old man was admitted to the hospital medicine service at a quaternary center for painful oral lesions that appeared 6 months prior. The lesions had started as multifocal soreness in the mouth floor 2 weeks after having undergone dental work. He was then evaluated by local oral surgery team who performed biopsies [...]

Case Presentation: A 60-year-old African woman presented to the emergency department with three days of abdominal pain, nausea, and vomiting. She had recently returned from a ten-month trip through rural Ethiopia where she consumed unpasteurized milk and well water with exposure to goats, cats, and livestock. Her medical history was otherwise unremarkable. On exam, she [...]

Case Presentation: A 48 year old female with no significant past medical history presented with acute onset of dysphagia, early satiety, nausea /vomiting and epigastric pain. Epigastric pain and non-bloody non-bilious emesis occurred after each meal. Lab work significant for eosinophilia (absolute eosinophil count 2,084/microL, reference < 500/microL ). CT abdomen and pelvis significant for [...]

Case Presentation: A 27-year-old male with a history of HIV, well-controlled on HAART, presented with persistent hematochezia, rectal pain, and constipation for a month. His history was notable for unprotected anal receptive intercourse. Patient was reportedly seen at multiple other hospitals and received empiric treatments for gonorrhea, chlamydia & syphilis without relief. He was compliant [...]

Case Presentation: This is a case of a 68-year-old female with a history of a recent cryptogenic stroke and atrial fibrillation who presented for an elective TEE for patent foramen ovale (PFO) evaluation and possible closure. TEE revealed a PFO with evidence of a right-to-left shunt. After completion, the patient reported exquisite neck tenderness, severe [...]

Case Presentation: 7-year-old male with asthma presented with an 8-month history of knee, hip, buttock, and back pain. Pain was worse in the morning and made it difficult for the patient to get out of bed. He was initially referred to physical therapy (PT) by his pediatrician. Pain worsened despite PT, and he was referred [...]

Case Presentation: A 61-year-old female with past medical history of coronary artery disease, antiphospholipid syndrome, Sjogren’s syndrome, and double stenting of the celiac artery due to focal dissection one month prior to her current hospitalization presented to the hospital with a 6-month history of substernal and mid-epigastric pain which worsened with food intake. Over the [...]