Case Presentation: 59-year-old female with no significant past medical history presented to the hospital with worsening dizziness, vertigo, and diplopia in the right eye. Vital signs were unrevealing. On physical exam, she appeared nontoxic but uncomfortable with eyes closed resting on the bed. The neurologic exam revealed severe nystagmus in the right eye, intact CN [...]

Case Presentation: A healthy 64-year-old woman presented with a sudden onset of crampy lower abdominal pain, nausea, and vomiting. Physical examination showed a soft, distended abdomen with lower abdominal tenderness and multiple waxy, brown to tan colored papules and plaques on the back, resembling “raindrops,” consistent with seborrheic keratoses. This skin finding was new; her [...]

Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination [...]

Case Presentation: We present the case of a 67-year-old female with a history of GERD, diabetes, and remote breast cancer treated with lumpectomy, radiation, and tamoxifen who presented with one-month of persistent abdominal distension associated with anorexia, nausea, vomiting, and shortness of breath. In addition, she had one episode of severe epigastric pain that radiated [...]

Case Presentation: A previously healthy 68-year-old woman presented with three weeks of progressive abdominal and leg swelling. While visiting family in Mexico two weeks prior, she developed an itchy rash on her thighs that spread distally. She denied fever, cough, dysphagia, vomiting, or abdominal pain, but did report a six pound weight loss. Physical exam [...]

Case Presentation: A 15-year-old female was referred to the hospital by her urologist for persisting urinary retention and bladder distention concern. The patient endorsed 5 months of increased urgency and decreased frequency of urination, as well as a decreased amount during each void. She denied dysuria, gross hematuria, incontinence, or history of UTI. She had [...]

Case Presentation: A 37 year old woman with past medical history of septic shock secondary to urinary tract infection (UTI), systemic lupus erythematosus treated with oral prednisone 10 mg/day, functional quadriplegia due to transverse myelitis, chronic sacral decubitus ulcers, chronic indwelling urinary catheter, morbid obesity, hypertension, and diabetes mellitus type 2 presented to the emergency [...]

Case Presentation: A 22-year-old female with PMH of TBI with resultant hydrocephalus s/p VP shunt placement and borderline personality disorder presented with three weeks of progressively worsening abdominal pain. She also reported a new onset of vaginal bleeding for 3 days, which was different from her usual amenorrhea secondary to IUD placement. The exam was [...]

Case Presentation: A 68-year-old female with hypertension and type 2 diabetes presented with diffuse abdominal pain for 2 weeks. Surgical history was remarkable for TAH & BSO. Family history was notable for colon cancer in her father. A physical exam showed abdominal distention, tenderness, and a palpable indurated periumbilical and right flank mass. Vitals were [...]

Case Presentation: A 58-year-old female with hypertension and end stage renal disease (ESRD) on hemodialysis was admitted with subacute dyspnea accompanied by abdominal pain and swelling. During a previous admission for similar symptoms three months prior, CT of the abdomen and pelvis revealed ascites and an adnexal mass measuring 8.6×5.2 cm. She was treated for [...]