Case Presentation: 47 year old female with a past medical history of hypertension presented to the emergency room with two days of right upper quadrant pain and a fever to 102F. For several months prior, she complained of bloating, intermittent diarrhea and diffuse abdominal pain that now localized. Her social history was positive for recent [...]

Case Presentation: A 78-year-old dialysis-dependent man with a history of end stage renal disease, hypertension and cerebrovascular accident was evaluated for diffuse abdominal pain and altered mental status for one day. The examination was pertinent for generalized weakness and altered sensorium. Laboratory tests revealed transaminitis and leukocytosis. Computed tomography (CT) of the abdomen and pelvis [...]

Case Presentation: A 55-year-old obese female presented with daily high fevers, chills, night sweats, malaise, decreased appetite, and nausea for two weeks. Her past medical history is significant for laparoscopic adjustable gastric band (LAGB) surgery eight (8) years prior. On presentation, she was febrile, tachycardic with pallor and hypotensive. Cardiopulmonary and abdominal examination was normal, [...]

Case Presentation: A 70 year male presented to the emergency department with complaints of worsening fatigue, abdominal distension, abdominal pain, dyspnea, and increased lower extremity edema. He had been diagnosed with pancreatic cancer 3 months ago and recently started on chemotherapy. An abdominal CT scan revealed massive ascites and multiple liver abscesses essentially replacing the [...]

Case Presentation: A 37-year-old gentleman with a history of metastatic carcinoid tumor with metastases to the liver and mediastinal lymph nodes was admitted to the hospital after presenting to the ED with three days of fevers and altered mental status. On presentation there was no overt source of infection. He had chronic abdominal pain that [...]

Case Presentation: A 24 year old, Chuukese-speaking woman visiting the United States from Micronesia, with no known past medical history, presented with complaint of 24 hours of acute epigastric pain. Patient was on no medications. Vital signs: temperature 36.4 degrees C, pulse 65, respirations 16, blood pressure 100/51. Exam showed mild epigastric and right upper [...]

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 27-year-old Chinese-American woman presented to the ED for sore throat, flank pain, dysuria, and generalized weakness for 1 week. The symptoms began after returning on a domestic flight. She initially denied any medical history or substance use to multiple providers and insisted her symptoms were due to infrequent bathroom use during the [...]

Case Presentation: A 72-year-old woman with breast cancer treated with lumpectomy and radiation in 2021, diverticulosis diagnosed by colonoscopy in 2018, and recent dental work, presented to the emergency department with cough, congestion, diarrhea, dizziness, and an episode of near-syncope. Two days prior to presentation she tested positive for COVID-19 and was prescribed nirmatrelvir / [...]

Case Presentation: Patient was a 57-year-old female with medical history of type II diabetes mellitus who presented with intermittent fevers, chills and abdominal pain. Labs were unremarkable except for mild transaminitis. Imaging revealed a right hepatic lobe lesion and moderate right pleural effusion. Blood cultures grew Strep intermedius in ¼ bottles, but repeat cultures were [...]