Case Presentation: A previously healthy 54-year-old African American woman with a history of chronic constipation and tobacco use disorder presented to the emergency department with a 3-day history of intermittent left lower quadrant (LLQ) cramping abdominal pain which radiated to her back and an associated 5-day history of fatigue. She had no prior colonoscopy. On [...]

Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a [...]

Case Presentation: A 77-year-old African American female with rheumatoid arthritis on chronic prednisolone presented with fever, weakness and unsteady gait. Further history revealed latent tuberculosis (TB) infection treated over 15 years ago and granulomatous abdominal lymphadenopathy three years ago. Physical exam revealed fever and limited left hip mobility due to weakness and pain. Labs showed [...]

Case Presentation: A 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient lives mainly in Texas, but goes to Mexico during winter time for a couple of months. He denied tobacco abuse, [...]