Case Presentation: A 64-year-old obese male with history of atrial fibrillation, congestive heart failure (CHF) and alcohol use presented with subacute worsening of lower extremity edema, fatigue, and exercise tolerance. Five months prior to presentation, he was admitted to an outside hospital with newly diagnosed atrial fibrillation and CHF. At that time an echocardiogram showed [...]

Case Presentation: A 28 year old male presented to clinic with a painless, progressively enlarging mass in his right testis for 4-6 weeks.  On examination a large, firm, right scrotal swelling was present. Testicular ultrasound revealed a heterogeneous 6.2 x 4.1 x 6.5 cm solid mass in the right testes. Labs were notable for a [...]

Case Presentation: A 26 year old female with no past medicalor psychiatric history presented to our hospital by her friends after they reported complaining that she had been behaving impulsive and manic during the preceding week. As described by friends and family, patient had recently traveled from Arkansas to Chicago to visit her family. However [...]

Case Presentation: A 61-year-old African American man with no significant medical history came to medical attention in December 2016 with severe post prandial bloating and vomiting for 2 months. On admission, vital signs and physical examination were unremarkable. The following laboratory tests were normal or negative: blood urea nitrogen, serum creatinine, bilirubin, alanine aminotransferase, aspartate [...]

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: 59 year old female presented to the emergency department complaining of two weeks of atraumatic, painful bruising to her lower extremities, right shoulder, and lower back. She was unable to bear weight on her right lower extremity due to pain.  She denied any history of anticoagulant or antiplatelet usage, and denied any family [...]

Case Presentation: A 76-year-old woman with history of non-small cell lung cancer status post chemoradiation five years ago presented with acute onset of diffuse muscle weakness and swelling in bilateral forearms and legs, with a “woody” texture on palpation but without fluctuance. BP and HR were normal, but she had recurrent fevers as high as [...]

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 84-year-old Caucasian male with a history of hyperlipidemia presented to his primary care provider with a 6-week history of an erythematous rash with associated proximal limb weakness but without complaint of breathing or swallowing difficulties. Statin-induced rash with myopathy were suspected so his statin was stopped, and he was referred for skin [...]

Case Presentation: An 87 year old male with a history HFrEF 35%, BPH, Afib, seizure disorder. He had a recent fall and presented with A-fib with RVR. His creatinine at that time was found to be 5.6 (no baseline creatinine at that time). Renal and bladder ultrasound showed large intravesical mass consistent with bladder mass [...]