Case Presentation: A 66 year-old Caucasian male presented to the emergency department with intermittent fevers, chills, fatigue and dyspnea of 1 week duration. He denied any nausea, vomiting, abdominal pain, changes in bowel habit or significant trauma. He lived in a wooded area and had 3 previous Lyme infections but denied any recent tick bite, [...]

Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, [...]

Case Presentation: An 86-year-old man with a history of atrial fibrillation on apixaban and aspirin for coronary artery disease presented with orthostatic syncope leading to a fall. Patient had complained of left upper quadrant abdominal pain the night prior to the fall. Patient denied trauma prior to the onset of abdominal pain, recent sore throat, [...]

Case Presentation: A 56 year-old male with past medical history of chronic pancreatitis, alcoholic cirrhosis, cured hepatitis C, iron deficiency anemia and gastric arterio-venous malformations (AVM) status post cauterization presented for screening colonoscopy and esophagogastroduodenoscopy (EGD). EGD showed several nonbleeding gastric AVM status post Argon Plasma Coagulation. The colonoscopy was unremarkable without any reported difficulty [...]

Case Presentation: 44-year-old male with past medical history of diabetes mellites, hypertension, pancreatitis and hypertriglyceridemia presented to the ED with acute abdominal pain and vomiting. Physical examination was unremarkable other than epigastric tenderness and elevated BMI of 33. Chemistry revealed glucose: 259 mg/dL, bicarbonate: 20 mmol/L, anion gap 19, lipase 1170 U/L, WBC count 15.6K/cc, [...]

Case Presentation: A 45-year-old female with a history of a remote history of left tibia chondrosarcoma requiring surgical resection presented to our hospital with two weeks of persistent fevers after returning from Jamaica. She reported three months of drenching night sweats, 10-pound weight loss over two months, and generalized myalgias. Upon admission, imaging revealed diffuse [...]