Case Presentation: A 58-year-old woman with multiple sclerosis, neurogenic bladder with indwelling catheter, and recurrent nephrolithiasis presented with worsening malaise and dizziness. Vitals signs were stable and physical exam was remarkable for baseline lower extremity weakness. Blood work identified leukocytosis (14.2 x 109/liter) and severe anemia (6.6 grams/deciliter). Urinalysis showed pyuria and calcium oxalate crystals.CT [...]

Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures.  We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity in a 48 year-old female presenting with chronic productive cough. This previously healthy patient presented with dyspnea, productive cough, and [...]

Case Presentation: A 41-year-old woman with a history of nephrolithiasis managed conservatively presented to the hospital with right flank and right upper quadrant pain. The pain initially started four months prior to her presentation, cramping in nature, rated 10/10 in intensity, intermittent, progressively worsening, initially well managed with ibuprofen, aggravated by movement, and relieved partially [...]

Case Presentation: A 69 year-old man with a history of urothelial carcinoma of the bladder status-post cystoprostatectomy with ileal conduit presented with fatigue, tachycardia, night sweats, and foul-smelling urine. At an outside hospital, he had recently been diagnosed with a new 11cm right renal mass with apparent diaphragmatic invasion. On exam, he was a pale, [...]

Case Presentation: A 56-year-old female with history of spastic quadriplegia secondary to multiple sclerosis, neurogenic bladder with a long-term indwelling suprapubic catheter presented with septic shock. ​ Labs revealed leukocytosis and lactic acidosis. A contrast enhanced computed tomography of abdomen and pelvis revealed a multiloculated large right renal abscess with staghorn calculus extending into the [...]

Case Presentation: A 61-year-old female with history notable for Crohn´s disease in remission presents with dysphagia associated with an unintentional 16kg weight loss over six weeks. Review of symptoms is notable for chronic diarrhea which stopped 3 days prior to admission and acute dysuria and polyuria. She is afebrile and hemodynamically stable. Initial laboratory studies [...]