Case Presentation: A 58-year-old woman with multiple sclerosis, neurogenic bladder with indwelling catheter, and recurrent nephrolithiasis presented with worsening malaise and dizziness. Vitals signs were stable and physical exam was remarkable for baseline lower extremity weakness. Blood work identified leukocytosis (14.2 x 109/liter) and severe anemia (6.6 grams/deciliter). Urinalysis showed pyuria and calcium oxalate crystals.CT [...]

Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures.  We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity in a 48 year-old female presenting with chronic productive cough. This previously healthy patient presented with dyspnea, productive cough, and [...]

Case Presentation: A 41-year-old woman with a history of nephrolithiasis managed conservatively presented to the hospital with right flank and right upper quadrant pain. The pain initially started four months prior to her presentation, cramping in nature, rated 10/10 in intensity, intermittent, progressively worsening, initially well managed with ibuprofen, aggravated by movement, and relieved partially [...]

Case Presentation: 54 y.o female with a pmh of DM and HTN presented with 3 days of fever, chills and left flank discomfort. The patient reported the pain to be indolent in onset, dull and persistent w/o radiation. Fever, chills and anorexia began 2 days after onset of pain.  All other review of systems were [...]

Case Presentation: A 32-year-old woman with history of recurrent urinary tract infections (UTI) presented with malaise and dysuria. Vitals were notable for low grade fever, tachycardia, and hypotension (85/50). Physical exam with 2+ pitting edema and bilateral costovertebral angle tenderness. The white blood cell count was 23,000 cubic mm, creatinine 6.4 mg/dL (baseline 0.6 mg/dL), [...]

Case Presentation: A 37 year-old female with history of menorrhagia on oral contraceptives (OCP) for 2 months, presented with abrupt onset of right lower quadrant abdominal pain (RLQ) for 1 day. Pain was 10/10, constant, sharp, with radiation to right flank, without alleviating factors. Pain was associated with nausea and multiple episodes of vomiting. She [...]

Case Presentation: An 82-year-old female with past medical history of paroxysmal atrial fibrillation, hypertension, CKD stage 3, and recurrent Pseudomonas aeruginosa urinary tract infection was admitted to a cardiology inpatient service for generalized weakness and atrial fibrillation with rapid ventricular response.Her recurrent UTIs had been occurring monthly for the past year. She was noted to [...]

Case Presentation: A 69 year-old man with a history of urothelial carcinoma of the bladder status-post cystoprostatectomy with ileal conduit presented with fatigue, tachycardia, night sweats, and foul-smelling urine. At an outside hospital, he had recently been diagnosed with a new 11cm right renal mass with apparent diaphragmatic invasion. On exam, he was a pale, [...]

Case Presentation: 51-year-old female with a past medical history of end-stage renal disease on intermittent dialysis and a recent vitreous hemorrhage status post pars plana vitrectomy with endo-laser photocoagulation 2 days prior to admission, presented with post-operative severe bilateral eye pain, headaches, and fevers. She was diagnosed with acute angle-closure glaucoma in the left eye [...]

Case Presentation: A 50­ year ­old man with poorly controlled type 2 diabetes mellitus (DM) presented with flank pain, nausea, vomiting, and fever. On exam, he was febrile, tachycardic, hypotensive, and had right sided CVA tenderness. The ER performed a CT stone protocol, however, imaging demonstrated right sided emphysematous pyelonephritis (EPN). Our patient was admitted [...]