Case Presentation: A 26-year-old female refugee from Afghanistan with a history of menorrhagia presented after a near syncopal episode and two days of fever, chills, and tooth pain. Per cultural preference, history was obtained from the patient’s husband using interpretive services. He reported that the patient developed cold extremities, fatigue, decreased appetite, weight loss, and [...]

Case Presentation: A 50-year-old man visited our hospital with complaints of malaise, appetite loss, diarrhea, and arthralgia, all of which he had experienced for 5 days before the visit. Although he had been previously healthy and fit, he had visited a different hospital one month earlier because of the sudden onset of a headache and [...]

Case Presentation: An 85 y/o man with non-small cell lung cancer and osseous metastases on pembrolizumab presented with 5 months of progressive weakness, intermittent nausea with non-bloody emesis, and decreased appetite with 20 lb. unintentional weight loss. Interval cancer surveillance with PET CT obtained 1 week prior showed a decrease in disease burden suggestive of [...]

Case Presentation: A 73-year-old man with a history of atrial fibrillation on apixaban and panhypopituitarism secondary to resection of a pituitary adenoma in the 1980s presented to our hospital for chest pain. His recent history is notable for recurrent cystitis and Clostridium difficile infections requiring stress-doses of glucocorticoids; his endocrinologist had been attempting to taper [...]

Case Presentation: 72 yo male with history of cerebral artery aneurysm, COPD, and Stage 3 CKD presented to the hospital for elective angiography of a cerebral aneurysm. He developed PEA arrest in the preprocedural setting and ROSC was achieved after 5 minutes of CPR. Patients condition improved initially but prior to planned discharge he developed [...]

Case Presentation: A 65-year-old Japanese man presented with a 5-month history of bilateral leg edema. He visited his family doctor 3 months ago and started taking furosemide, but the symptom didn’t improve. His past medical history included chronic atrial fibrillation. He reported malaise, constipation and weight gain but denied fever or night sweats. On admission, [...]

Case Presentation: 71-year-old male with extensive smoking history was referred to the hospital by his PCP for new-onset severe hyponatremia of 117mMol/L. He denied any active complaints and initial physical examination showed an euvolemic male. Low serum osmolality of 245mOsm/kg but high urine osmolality of 309mOsm/kg and high urine sodium of 68mEq/L were suggestive of [...]

Case Presentation: A 65-year-old man with a history of bilateral retinal detachment, coronary artery disease, type 2 diabetes, hypothyroidism, and hypertension presented with several days of left eye pain, bitemporal headache and decreased vision. Vital signs were notable for fever (101.2F) and tachycardia (124 bpm). On physical exam, he was unable to open his left [...]

Case Presentation: A 70-year-old man with a past medical history of HIV on antiretroviral therapy, chronic obstructive pulmonary disease, tobacco use disorder, and ischemic cardiomyopathy presented due to 2 weeks of headache and hemoptysis. On review of systems he noted chronic diplopia going on for the last few months. The initial examination did not note [...]