Case Presentation: A 15 year-old female with developmental delay presents with intermittent abdominal pain, decreased appetite, and vaginal discharge. Parents disclose a 30 lbs weight loss over 2 years, along with vaginal discharge that was evaluated by self-swab testing and deemed a “normal variant” from menses. When she presented to her PCP’s office, she was [...]

Case Presentation: A 65-year-old black woman with history of longstanding controlled HIV on highly active antiretroviral therapy (HAART) and chronic Hepatitis C co-infection, presented with a 2-day history of worsening lower back pain. She was compliant with her HAART regimen (darunavir, lamivudine, raltegravir and ritonavir) since her diagnosis in 1994, with persistently undetectable viral loads [...]

Case Presentation: A 27-year-old African American male with past medical history of hypertension presented with vomiting, diarrhea, chest pain and shortness of breath for about 1 week. He was septic with a temperature of 100.4F and heart rate of 130 bpm, but normotensive. No peripheral edema was present on exam. Leukocytosis (11.2K), anion gap metabolic [...]