Case Presentation: An 86-year-old female with history of hypertension and endometrial cancer was admitted for acute kidney injury. On presentation, patient’s creatinine was 3.06 mg/dL, associated with a dipstick urinalysis showing proteins 100 mg/dL. She was unresponsive to intravenous fluids, demonstrated by a persistent rise in her creatinine to 3.89 mg/dL. Urine output and oral [...]

Case Presentation: A 40-year-old male of Hispanic/Asian origin with a history of diabetes mellitus type II, hypertension, dyslipidemia, recurrent sinusitis and bilateral otitis media presented to the emergency department complaining of acute hand joints pain, nasal congestion and left ear pain. On physical examination, he appeared fatigued with no acute distress. He had prominent sinus [...]

Case Presentation: Our patient is a 35-year-old male with a history of hypertension who was transferred from an outside hospital (OSH) for renal vein, and inferior vena cava (IVC) thrombosis. A month prior to presentation to the OSH, he had developed acute, right-sided flank pain with nausea. At the OSH, he was diagnosed with nephrolithiasis, [...]

Case Presentation: A 50-year-old woman with prior cerebrovascular accident, paroxysmal atrial fibrillation, hypertension, and diabetes who presented for her second syncopal episode in as many months. Her exam was unremarkable aside from chronic neurologic deficits and new lower extremity swelling. Initial labs revealed elevated creatinine and large protein on her urinalysis with a very low [...]

Case Presentation: Patient is an 82-year-old male with a past medical history of primary epithelial mesothelioma secondary to asbestos exposure while on active duty in the Navy. Patient was initially treated with neoadjuvant chemotherapy with carboplatin pemetrexed for 4 cycles followed by pleurectomy and talc pleurodesis. Patient had recurrent disease after surgery and was started [...]

Case Presentation: A previously healthy 35-year-old woman presented with fever, dizziness, and weakness for 1 day. Three weeks prior, she had back pain and difficulty taking deep inspirations that was treated with a 10-day course of levofloxacin. The pain subsided; however, she noticed frothy urine. Other symptoms included a 30-pound weight loss in 4 months [...]

Case Presentation: A 30-year-old male with no past medical history presented to the hospital with acute hearing loss in his left ear that started about 4 weeks prior to his presentation. He had completed treatment with valacyclovir and steroids without regaining hearing. He also endorsed fevers, chills, bilateral leg swelling and worsening malaise over the [...]

Case Presentation: A 24-year-old male with a six-year history of systemic lupus erythematosus (SLE) presented to the emergency department with acute, severe left-sided abdominal pain accompanied by nausea and vomiting. His medical history included lupus nephritis, but his disease had been poorly managed due to noncompliance and inadequate follow-up. He denied previous similar episodes.On physical [...]