Case Presentation: A 26-year-old male presented with a 6-hour history of anterior neck pain and swelling. Symptoms started few minutes after he had dinner (tuna and a carbonated beverage). Otherwise, he denied any recent illness, trauma or intake of unusual substances and had no other past medical history. On exam, he was afebrile and hemodynamically stable. [...]

Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional [...]

Case Presentation: A 68-year-old male with neurogenic bladder requiring self-catheterization, atrial fibrillation on coumadin, and osteoarthritis on chronic ibuprofen presented with lower extremity weakness after a fall. He was found to have a supratherapeutic INR of 6.6 and temperature of 39°C. Laboratory work showed leukocytosis to 15.5 th/mm3 and urinalysis with 3+ leukocyte esterase and [...]

Case Presentation: A 56-year-old man with a medical history of nicotine dependence, gastroesophageal disease (GERD) and chronic obstructive pulmonary disease (COPD) emphysema sub-type presented to the outpatient clinic for the evaluation of cough and shortness of breath. Cough was said to be productive of light-yellow sputum and he denied any associated fevers or chest pain. [...]

Case Presentation: We describe a case of a 76 year old male with history of advanced centrilobular emphysema who developed platypnea and orthodeoxia. He was diagnosed with severe obstructive disease since 4 years and was on home oxygen. He had multiple admissions for dyspnea with treatment including supplemental oxygen, bronchodilators, steroids and antibiotics. His oxygen [...]

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 [...]