Case Presentation: Two months after chronic use of an abdominal binder made for weight loss and waist shaping, a 38 year-old woman presented with anuria and amenorrhea. The patient also reported nausea, bilious vomiting, extreme sensitivity to smell, and a chronic penny-like taste in the mouth. She was found to have end-stage renal disease. Workup [...]

Case Presentation: A morbidly obese, but otherwise healthy, 57 year old male, presented to his initial visit with his primary care provider with complaints of dysphagia, vomiting, and unintentional weight loss of 15 pounds over the previous month. He reported a sudden onset of vomiting after eating a large meal about a month prior. Following [...]

Case Presentation: Progressive dysphagia associated with weight loss is usually related to upper gastrointestinal cancer. As a differential diagnosis, fungal infections may present with a similar clinical presentation due to upper GI lesions. Paracoccidioidomycosis (PCM) infection is a systemic granulomatous disease caused by the fungi Paracoccidioides brasiliensis, especially important in rural areas of Latin America. [...]

Case Presentation: A 39 y/o female with no significant past medical history and long term use of phentermine for weight loss presented to our hospital with complaints of transient right sided weakness and right sided facial droop lasting 30 min. At time of presentation, her symptoms had resolved completely and review of systems and physical [...]

Case Presentation: A 67-year-old Fijean woman presented to the emergency department with three weeks of fevers, chills, weakness, watery non-bloody diarrhea, and unintentional 15lb weight loss. She had no recent travel, sick contacts, changes in dietary habits, antibiotic use, or initiation of new medications. Physical exam was significant for epigastric tenderness and hepatomegaly. Her laboratory [...]

Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to [...]

Case Presentation: A seventeen year-old male was admitted for two weeks of intractable nausea and vomiting in the setting of daily marijuana use over the last two years. Symptoms were associated with weight loss (9 kg over 2 weeks) and temporarily improved with frequent hot showers (Figure 1). Despite the use of commonly effective antiemetic [...]

Case Presentation: A 70-year-old female with past medical history of cervical (C4/C5/C6) spine fusion presented with one-year history of swallowing difficulties. She noted that over the past year she has developed steadily worsening swallow ability from solids to liquids associated with frequent coughing when eating. She has also lost approximately 20 pounds due to reduced [...]

Case Presentation: A 61-year-old female with past medical history of coronary artery disease, antiphospholipid syndrome, Sjogren’s syndrome, and double stenting of the celiac artery due to focal dissection one month prior to her current hospitalization presented to the hospital with a 6-month history of substernal and mid-epigastric pain which worsened with food intake. Over the [...]

Case Presentation: A 45 year-old male with a history of nephrolithiasis and hypertension presented with acute onset of right-sided flank pain and hematuria. He presented to an outside hospital and underwent workup for suspected nephrolithiasis. Urinalysis was negative for pyuria or leukocyte esterase. Non-contrast CT scan of his abdomen and pelvis was performed and was [...]