Case Presentation: A 62 year old incarcerated male presented to an outside hospital for a near syncopal event. He reported increased general fatigue, dyspnea with exertion, edema of bilateral legs, weight gain of 20 pounds, and orthopnea over the prior two months without any other associated symptoms. His past medical history included diabetes mellitus type [...]

Case Presentation: Patient is a 71-year-old female who presented to the emergency department due to outpatient labs showing a significant anemia. Her primary complaint was a worsening feeling of generalized weakness over the last four weeks. She denied blood in her stool or urine, or any history of bleeding or clotting disorders. She was found [...]

Case Presentation: A 51 year old female recently diagnosed with metastatic goblet cell carcinoid mixed adenocarcinoma of the appendix with metastasis to the peritoneum, mesentery, small and large bowel status post ileo-cecectomy and ileostomy presented with acute onset anxiety and mania. Patient presented with a two-day history of decreased sleep, flight of ideas and increased [...]

Case Presentation: 63-year-old woman with 80-pack year smoking history presented with right flank pain for two days and weight loss of 35lbs in 6 months. Chest X-ray as a part of the workup was found to have a mass like opacity in left lung. Subsequent CT scan of chest and abdomen/pelvis showed a left upper [...]

Case Presentation: A 76-year-old Caucasian male with a past medical history of essential hypertension and type II diabetes mellitus presented with groin pain, nausea, vomiting, and right lower quadrant (RLQ) abdominal pain. The patient’s labs showed a high neutrophil count (82.3) and leukocytopenia (7). CT scan of the abdomen showed an abnormality of the mid [...]

Case Presentation: We present a case of a 58 year old female with complaints of abdominal pain. The patient had six months of alternating fevers, chills and fatigue. She was placed on antibiotics but her fevers returned upon completion. Three months thereafter, the patient developed left lower quadrant abdominal pain that was sharp in nature [...]

Case Presentation: The patient is an 83-year-old female with hypertension, hyperlipidemia and carcinoid tumor with metastasis to the liver. Two months after her oncologic diagnosis, she presented to the hospital for severe dyspnea and palpitations. Her dyspnea had been progressively worsening for six months; the palpitations were associated with exertion and resolved with rest. Her [...]

Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems was negative. Vitals signs were normal. Abdominal exam was remarkable for distension and left lower quadrant tenderness with no rebound [...]

Case Presentation: A 46-year-old male with a past medical history of hypertension and macular edema was referred to the Cardiology office by his primary care provider for uncontrolled hypertension and bilateral lower extremity edema. An echocardiogram was obtained to rule out structural heart disease which revealed a reduced left ventricular ejection fraction of 35-40% and [...]

Case Presentation: A 55-year-old female with a history of metastatic left renal cell carcinoma to the left hemipelvis status post nephrectomy and immunotherapy, and generalized anxiety disorder presented for chronic diarrhea described as over 10 episodes of large volume watery stools daily persisting with fasting and associated with cramping abdominal pain. She reported that previous [...]