Case Presentation: A 45-year old male was escorted to our tertiary medical center from a prison for evaluation of 40 lb weight loss, paraplegia and recently developed urinary and fecal incontinence. The patient had been on a 7-month long hunger-strike, during which he only consumed one meal per day. In addition to incontinence, he reported [...]

Case Presentation: A 76 year old male without any significant past medical history presented to the emergency department with abdominal pain, night sweats, and a fever for a week. He was found to have a mild macrocytic anemia (Hgb 9.9, MCV 105.4) with a normal B12 and folate, and elevated inflammatory markers (CRP 24, ESR [...]

Case Presentation: A 19-year-old male with type 1 diabetes mellitus, congenital retinal dystrophy, and a family history of sensorineural hearing loss (SNL) presented with 2 weeks of fatigue and dyspnea. On arrival, the patient was tachycardic at 115 beats per minute and physical exam was notable for pallor. He was found to have a white [...]