Case Presentation: A 59 year-old male with intellectual disability presented with abdominal pain and distension following a fecal impaction. Imaging revealed diffuse gaseous colonic distension with colonic wall thickening suggestive of inflammatory colitis and colonic ileus without obstruction. His labs were notable for severe hypokalemia (1.5 mmol/L) and mild hypomagnesemia. Despite empiric antibiotic course, imaging [...]

Case Presentation: A 58 year old male with a past medical history of hypertension, hyperlipidemia, diabetes mellitus type 2, and stage 4 chronic kidney disease presented to the ED for 3 weeks of weakness, dyspnea, and bilateral lower extremity edema. Exam and workup was notable for anasarca, albumin of 1.8 g/dL, and CT with ascites [...]

Case Presentation: A 60 year old female with past medical history of chronic migraines presents with chief complaint of nausea and vomiting, with associated headache and malaise. She reports recent emergency room visit two weeks prior at an outside hospital for a “cold” with stomach pain. She was told she had a urinary tract infection [...]

Case Presentation: A 15-year-old previously healthy female presented with 2 days of fatigue and 1 day of vomiting, watery diarrhea, and dark urine. Labwork revealed a hyponatremic, hypokalemic metabolic acidosis with acute kidney injury. Despite copious electrolyte and fluid resuscitation, her diarrhea persisted, with stool output peaking at 14 liters per day. She exhibited severe [...]

Case Presentation: A 41-year-old male with a recently diagnosed left iliac soft tissue mass presents to our institution complaining of severe pain in his lower back and left hip limiting his ability to walk. The patient denied any recent fevers or chills, night sweats, allergies, or a family history of malignancies. The pelvic MRI on [...]