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: 64 year old male with history of stage 4 prostate cancer status post radiosurgery and hormonal therapy in remission for 6 months presented with 1 month of left upper quadrant and epigastric pain associated with nausea, anorexia and unintentional 15 lb weight loss within 8 months. His PSA level was significantly elevated at [...]

Case Presentation: A 25-year-old man with no past medical history presented with five days of rapidly enlarging neck mass. He recently moved from India to San Antonio and noticed an unintentional weight loss of 20 pounds over the past month with a non-productive cough, nausea and vomiting. Denies neck pain, dysphagia and fever. Physical exam [...]