Case Presentation: An 89 year-old woman was admitted for several days of severe constipation, abdominal bloating and absence of flatus. She had abdominal distention with minimal abdominal tenderness on exam. Initial CT imaging demonstrated significant stool burden with prominent colonic distension extending from the cecum to the transverse colon. She required nasogastric tube decompression. Several [...]

Case Presentation: A 65-year-old female with a history significant for persistent atrial fibrillation, on apixaban, aortic and mitral bioprosthetic valve replacement, dual-chamber permanent pacemaker (PPM) implantation for heart block 2 weeks prior presented with worsening shortness of breath, dry cough, and generalized weakness for 4 days. Initially, she was found to be hemodynamically stable. Labs [...]

Case Presentation: A 70-year-old man with no significant history presented with lower back pain for 1 month. The pain, specifically involving the bilateral lower back which radiated down the buttocks, was sharp, intermittent, and 10/10 in severity. His pain started gradually but progressively worsened, limiting the patient’s ability to ambulate. The patient reported constipation for [...]

Case Presentation: A 71 year old man with history of multiple sclerosis and gout (on Methylprednisolone) presented with weakness. Patient was diagnosed with a UTI on a recent hospital admission for fever and weakness. He improved on IV antibiotics and was discharged home to complete a 7-day PO course, but returned 9 days later after [...]

Case Presentation: An 87-year-old Caucasian male with a history of benign prostatic hyperplasia presented to the hospital with urinary incontinence, abdominal discomfort, and altered mentation. The patient required hospitalization for worsening symptoms. On admission, he was hypotensive (BP of 88/55 mmHg), tachycardiac (143 b/min), respiratory rate of 20 bpm, and temperature of 96.3° F. Pertinent [...]

Case Presentation: A 56 year old caucasian male with extensive sarcoidosis of the lungs, heart, pancreas and liver had a surveillance 6 month CT scan of the chest+abdomen+pelvis to look for disease progression. Incidentally, he was found to have pneumatosis of the hepatic flexure of colon with surrounding pneumoperitoneum in the absence of associated inflammatory [...]

Case Presentation: A 84-year-old woman, with history of diverticulosis and colonic angiodysplasia treated with argon photocoagulation in the past, underwent esophagogastrodudenoscopy (EGD) and colonoscopy for lower gastrointestinal bleeding. She was found to have multiple angiodysplastic lesions in the gastric body, duodenum and proximal transverse colon which were successfully coagulated for hemostasis using argon plasma at [...]

Case Presentation: A 68-year man presented to the hospital due to 2 weeks of acute abdominal pain with nausea, vomiting, diarrhea and the inability to tolerate his jejunostomy tube feeds, resulting in 20lbs of weight loss. Past medical history includes Stage 4 gastric adenocarcinoma, coronary artery disease, and hypertension. After diagnosis of gastric cancer 1 [...]

Case Presentation: A 56 year-old-female with past history of schizoaffective disorder on clozapine after failure of many antipsychotic medications for around 3 years got voluntarily hospitalized in a psychiatric facility for over 2 months and then presented to the acute care hospital with complains of fever, generalized fatigue and abdominal pain and admitted for SIRS [...]

Case Presentation: A 93-year-old female was brought by her daughter via EMS to the emergency department with complaints of vomiting and drowsiness. She was treated, 2 weeks prior, with Cefalexin for a presumed UTI. After antibiotics initiation, the patient developed multiple episodes of non-bloody, watery diarrhea, with subsequent drowsiness, confusion, and poor appetite. She denied [...]