Case Presentation: A 73-year-old woman with a past medical history of hypertension and osteoarthritis presented to the emergency department with progressive right lower back pain after a mechanical fall, subacute oropharyngeal dysphagia, and diffuse proximal and distal muscle weakness. On presentation, she was afebrile with unremarkable vital signs. Her labs were significant for a WBC [...]

Case Presentation: : A 60-year-old male with history of emphysema was admitted to the hospital because of   worsening dyspnea, cough with yellow sputum production, fever and night sweats.The patient was hospitalized 9 days before this admission and was treated with levofloxacin and methylprednisone for acute exacerbation of COPD. Of note patient had a CT of [...]

Case Presentation: A 31-year-old female gravida 2 para 2 with past medical history notable for iron-deficiency anemia presented to the hospital with complaints of fever, lower extremity rash, and multiple breast masses. The patient described having bilateral breast firmness and tenderness for 3 weeks, which was being worked up as an outpatient. The patient had [...]

Case Presentation: A 58-year-old woman with multiple sclerosis, neurogenic bladder with indwelling catheter, and recurrent nephrolithiasis presented with worsening malaise and dizziness. Vitals signs were stable and physical exam was remarkable for baseline lower extremity weakness. Blood work identified leukocytosis (14.2 x 109/liter) and severe anemia (6.6 grams/deciliter). Urinalysis showed pyuria and calcium oxalate crystals.CT [...]

Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures.  We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity in a 48 year-old female presenting with chronic productive cough. This previously healthy patient presented with dyspnea, productive cough, and [...]

Case Presentation: A 34 year old male with a history of CVID subclass 2 and 4, with low IgG level, absent IgA, liver nodular regenerative hyperplasia with portal hypertension, and immune thrombocytopenic purpura status post splenectomy presented with a month of nonproductive cough, mild episodes of hemoptysis, and shortness of breath. Physical exam revealed peripheral [...]

Case Presentation: A 41-year-old woman with a history of nephrolithiasis managed conservatively presented to the hospital with right flank and right upper quadrant pain. The pain initially started four months prior to her presentation, cramping in nature, rated 10/10 in intensity, intermittent, progressively worsening, initially well managed with ibuprofen, aggravated by movement, and relieved partially [...]

Case Presentation: A 33-year-old female with a history of alcohol use and rheumatoid arthritis presented with a 2 day history of sharp, peri-umbilical and left upper quadrant (LUQ) pain. She also reported one month of fevers, night sweats, unintentional 10 Lb weight loss, and a non-productive cough without hemoptysis. She underwent a dental extraction for [...]

Case Presentation: A 25 year-old white man with no significant past medical history presented with gradually progressive dyspnea on exertion and dry cough for approximately two months. He was treated for community-acquired pneumonia with various oral antibiotics and corticosteroids without resolution of symptoms. Importantly, during a particularly severe coughing spell, he noted sharp right-sided chest [...]

Case Presentation: A 69 year-old man with a history of urothelial carcinoma of the bladder status-post cystoprostatectomy with ileal conduit presented with fatigue, tachycardia, night sweats, and foul-smelling urine. At an outside hospital, he had recently been diagnosed with a new 11cm right renal mass with apparent diaphragmatic invasion. On exam, he was a pale, [...]