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 73-year-old man with hypertension, atrial fibrillation, coronary artery disease, heart failure, end stage renal disease on hemodialysis, and hypothyroidism presented with 3 weeks of nausea, vomiting, and inability to tolerate food. He had no fevers, abdominal pain, or diarrhea; symptoms did not improve with dialysis. Vitals were normal, abdominal exam was unremarkable, [...]

Case Presentation: A 71-year-old female was transferred from an outside hospital where she was being managed for an AKI following an episode of profuse vomiting and diarrhea. She reported a nine-year history of similar episodes and had received a diagnosis of cyclical vomiting syndrome in the past. She also endorsed 30 lb weight-loss over the [...]

Case Presentation: Insulinoma is a rare tumor that originates in the beta cells of the pancreas with an incidence of 1-4 cases/million persons/year. Less than 10% of insulinomas are malignant and represent a treatment challenge despite the development of new therapeutic approaches in the last decade. A 28 year old female with no past medical [...]

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: 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: This is a 72-year-old female patient who presents to the ED for the evaluation of loss of consciousness. The patient’s family also endorsed dark stools for the past few days. She has a medical history significant for Insulin Dependent Diabetes Mellitus, and papillary thyroid cancer. On arrival, the Patient’s BP was 126/55, Heart [...]

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 [...]