Case Presentation: A 48-year-old man with extreme obesity, heart failure, and a clinical diagnosis of gout presented with abdominal pain. Abdominal examination was limited by body habitus, as his body mass index was 68. Admission laboratory studies revealed acute kidney injury. He had been hospitalized before for similar presentations, but clear etiologies for the abdominal [...]

Case Presentation: A 34-year-old male without significant past medical history presented with fevers, progressive purpuric rash that started in the ankles and spread in a centrifugal distribution, joint stiffness, as well as a rapidly progressive right-sided neck mass. Two weeks prior to presentation he had experienced sore throat and subjective fevers which self-resolved. One week [...]

Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness [...]

Case Presentation: IgA Vasculitis, formerly known as Henoch-Shönlein Purpura, is a systemic vasculitis most often seen in children. We present a case of a 28 yo obese man who presented to his primary care physician with complaints of fever, chills, nausea, vomiting, and sore throat for twelve hours. He was diagnosed with viral gastroenteritis and [...]

Case Presentation: A 50-year-old man without significant medical history presented with two months of purpura over his lower extremities and abdomen, ankle pain, and two days of severe abdominal pain associated with vomiting and melena. His symptoms started following a respiratory infection. On presentation, he was afebrile with normal vital signs. Physical exam was notable [...]

Case Presentation: An 83-year-old male with a history of seizures, CHF, hyperlipidemia, obstructive sleep apnea, and BPH presented with 2-3 days of altered mental status. His family reported worsening leg swelling and blisters for the past few months, with a rash spreading to his upper extremities and wounds draining serosanguinous fluid. He was hypoxic in [...]