Case Presentation: A 71-year-old patient with a past medical history of hypertension, insulin-dependent type two diabetes mellitus with peripheral neuropathy, and deceased donor kidney transplant two years prior (CMV D-/R+ & EBV D+/R+) presented with a complaint of acute onset dark urine, and progressively worsening nausea, vomiting, and intermittent diarrhea. His immunosuppressive regimen consisted of [...]

Case Presentation: An 87 year old male with a history of bilateral cataract surgery 18 months prior and recent immigration to the United States as a farmer from Honduras presented for bilateral vision loss and eye pain worsening over the last 3 months. Evaluation by Ophthalmology revealed left panuveitis, right anterior uveitis, and right retinal [...]

Case Presentation: 38 year old male with history of rheumatoid arthritis presented to the emergency department with six months of episodic fever up to three times a week. Associated symptoms included occasional nonproductive cough and intermittent diffuse abdominal pain without any report of nausea, vomiting, or diarrhea. He denied any other localizing symptoms including dysuria [...]

Case Presentation: A 44-year-old Nigerian woman with no medical history and recent travel to Mexico presents with cough for 4 weeks, fever, and malaise. She initially presented to urgent care with respiratory complaints, was diagnosed with pneumonia and given azithromycin. Her symptoms did not improve and she went to the ED. Vitals were notable for [...]

Case Presentation: A 46 year-old male from India presented with acute epigastric abdominal pain, dysphagia, decreased appetite, nausea, and generalized weakness. This case starts 6 months prior to admission when he was found to have an elevated creatinine at a routine primary care visit. Subsequently, due to worsening kidney function, a kidney biopsy was performed [...]

Case Presentation: A 46-year-old Guatemalan male with a past medical history of hypertension, type 2 diabetes mellitus, iron deficiency anemia, and chronic ethanol use presented with intermittent fevers, bright red blood per rectum, loose bowel movements, and significant unintentional weight loss. Physical examination revealed right upper quadrant tenderness and conjunctival pallor but was otherwise unremarkable. [...]

Case Presentation: An 84-year-old male veteran with prostate cancer s/p prostatectomy in 2002 with positive margins, uncontrolled type 2 diabetes, untreated hepatitis C, 50-pack-year history, presented for admission after routine labs at his primary care physician’s office revealed prominent eosinophilia of 6,900 and hyponatremia. The patient’s main complaint was generalized pruritus and a one-month pruritic [...]

Case Presentation: A 53-year-old male with a past medical history of hypertension who recently emigrated from El Salvador presented to an ambulatory clinic for evaluation of substernal chest pain that started eight days earlier. He described the chest pain as intermittent, non-radiating, and associated with palpitations, chills, shortness of breath, and diaphoresis. He denied fever, [...]

Case Presentation: A 50-year-old man presented with one week of diarrhea. He reported ten voluminous watery bowel movements each day, nausea, and frequent non-bloody, non-bilious emesis. Additional symptoms included increasing right-sided abdominal pain, generalized pruritus, and diffuse weakness. Eating meat exacerbated both his abdominal discomfort and pruritus. His history included Ulcerative Colitis, Primary Sclerosing Cholangitis, [...]

Case Presentation: A 24 year old Hispanic male with history of ESRD due to presumed medullary cystic disease who underwent DDKT x2 first in 2/2011 complicated by acute vascular rejection with loss of transplant, then again in 11/2011 which was complicated by antibody mediated rejection in 2015 that was treated with plasmapheresis developed a subacute [...]