Case Presentation: A 90-year-old man with a history of left upper lobe pulmonary nodule on prior imaging presented with dark tarry stools, fatigue and syncope. He had not had an EGD or colonoscopy done in about 10 yrs. Five months prior to this presentation, a 2.4 cm left upper lobe pulmonary nodule suspicious for neoplasm [...]

Case Presentation: Introduction: Tracheal tumors commonly arise as metastasis from neighboring thyroid, esophageal, laryngeal or lung tumors. Primary tracheal tumors are extremely rare with an incidence of 1 in 1,000,000 persons per year. Often presenting with non-specific symptoms, diagnosis is difficult. Case Report: A 59-year-old Caucasian male with a history of marijuana abuse, arterial thrombosis, [...]

Case Presentation: A 75-year-old male presented to our institution with lethargy and unremitting headache of several weeks duration. His history was significant for squamous cell carcinoma of the lung status post lobectomy with recurrence 4 years later being treated with palliative radiation, chronic obstructive pulmonary disease (COPD), and hypertension. He described his headache as daily, [...]

Case Presentation: A 27-year-old male presented with one year history of nonproductive cough and a 4 week history of expiratory wheezing, dyspnea on exertion, facial swelling and episodic hemoptysis. Past medical history was significant for fatigue, insomnia and headaches. Social history was significant for minimal tobacco use, occasional alcohol consumption, prior use of marijuana and [...]

Case Presentation: The patient is a 52-year-old male with a history of HIV (on antiretroviral therapy), ulcerative colitis, untreated hepatitis C who presented to the hospital after several weeks of difficulty passing stools, tenesmus, and rectal pain. This was originally attributed to hemorrhoids several weeks prior to presentation, but after symptoms progressed, the patient presented [...]

Case Presentation: 61-year-old male presented with fatigue, dizziness and epigastric discomfort. Patient was noted to be anemic on lab investigations. Patient underwent a CT scan of the abdomen and pelvis which demonstrated a 4.7 x 4.6 cm mass in the anteromedial stomach distal to GE junction. There was also a 1.8 x 1.5 cm structure [...]

Case Presentation: A 53 year old man with a history of stage III squamous cell carcinoma (SCC) of the esophagus (pT3N3) was admitted for dysphagia and found to have a mandibular mass and a painful finger nodule. The patient initially presented to an outside hospital four months prior with dysphagia and weight loss. He was [...]

Case Presentation: This is the case of a 77-year-old male who was treated for endocarditis that seeded from a chronic upper extremity wound. The patient had a history of chronic atrial fibrillation and was status post placement of an AICD pacemaker. He initially presented to a community hospital with altered mental status and was found [...]

Case Presentation: A 75-year-old male with a history of left upper lobe neuroendocrine lung cancer in remission presented to the hospital with progressive diplopia and headaches for 4 weeks. Prior to admission, he had recently been diagnosed with squamous cell carcinoma (SCC) on the vertex scalp which appeared at the onset of diplopia. Histology showed [...]

Case Presentation: Our patient is 56-year-old gentlemen with a history of non-ischemic cardiomyopathy related to prior alcohol use, hypertension and atrial fibrillation who presented to the emergency department complaining of shortness of breath, pleuritic chest pain and subjective feeling of fever and chills of 3 days’ duration. He was found to be hypotensive (86/60 mmHg) [...]