Background: Sepsis is one of the leading causes of admission to intensive care units (ICU), and it is one of the most expensive conditions treated in United State Hospitals accounting for $20.3 billion or 5.2% of total hospitalization cost. Idiopathic pulmonary fibrosis (IPF) is one of the leading causes of interstitial lung disease, with currently [...]

Case Presentation: 59 year old man with hypertension initially presented to the hospital with bleeding, oral lesions. They developed four days prior to presentation. They manifested as bullae which eventually “popped” and bled. Patient had no other associated symptoms, including fever, chills, dizziness, chest pain, dyspnea, or irregular bleeding. He works as a city bus [...]

Case Presentation: A 75-year-old man with a history of glaucoma and diabetes presented to the hospital for evaluation of bilateral painful conjunctivitis, vision loss, abdominal pain and diarrhea with associated 20-pound weight loss over the previous 3-4 months. Testing for Lyme disease, syphilis, Bartonella, Varicella, HIV, and TB were all negative. Rheumatologic workup showed positive [...]

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: The diagnosis of a sexually active young male who presents with fevers, night sweats, weight loss with opportunistic infections and then found to have an acquired immunodeficiency is going to be HIV except when it isn’t. We present a patient with a presumptive diagnosis of HIV but a negative comprehensive HIV laboratory testing [...]

Case Presentation: A 57 year-old African-American male with past medical history of osteoarthritis, opioid dependence secondary to arthralgia, and chronic bilateral lower extremity venous thrombi secondary to both protein C and protein S deficiency, presented with acute altered mental status resulting from synthetic cannabinoid intoxication. The pain was so severe; he was only able to tolerate [...]

Case Presentation: 62-year-old male with a PMH notable for recurrent epistaxis, bleeding post-dental procedures & IDA since childhood on & off oral iron supplementation presented to the hospital with a traumatic head injury resulting in a SAH/SDH. Initial laboratory work found normocytic anemia & severe thrombocytopenia (TCP) – 25 X 10E+09/L . CT abdomen & [...]

Case Presentation: A 37 year old male with a history of asthma presented with a three day history of acute onset left upper quadrant (LUQ) abdominal pain, worse after meals and associated with nausea. He had no history of cholelithiasis, alcohol abuse or trauma. Vital signs on admission were in normal range. Exam revealed LUQ [...]

Case Presentation: A 72 year old male presented with worsening shortness of breath and increasing oxygen requirement for six weeks. The patient had been on supplemental oxygen for the past 2 years for hypoxia. As an outpatient, right heart catheterization revealed a pulmonary arterial pressure (PAP) of 76/24 mmHg, mean PAP of 41 mmHg, wedge [...]

Case Presentation: A 77 year old Jehovah’s Witness woman presented with one month of petechial rash, epistaxis and oral mucosal bleeding. There was no recent travel or infectious illness. She denied herbal or toxic ingestions. Her exam was remarkable only for diffuse petechiae. Labwork was significant for new severe thrombocytopenia (2 K/UL), a normal peripheral [...]