Case Presentation: The patient is a 66-year-old female with a pertinent past medical history of Deep Vein Thrombosis on Eliquis, Hyperlipidemia, Osteopenia, Generalized Anxiety Disorder, Major Depressive Disorder, and Hypertension who presented with a chief complaint of persistent generalized abdominal pain, nausea, vomiting, and watery diarrhea. This was the patient’s fourth admission to the hospital [...]

Case Presentation: A 44-year-old female with a history of an overlap syndrome of systemic lupus erythematosus and rheumatoid arthritis, fibromyalgia, and psychogenic nonepileptic seizures was in her usual state of health until 1 year ago when she developed progressively worsening dysphagia. A few months prior to presentation, she developed weakness in her proximal lower extremities [...]

Case Presentation: A 25-year-old male with a past medical history of well-controlled Celiac disease presented to the hospital with fever and altered mental status after a wellness check was initiated by a family member. The patient was feeling unwell over the past week with fatigue, headache, sore throat, vomiting, and diarrhea. On presentation he was [...]

Case Presentation: A 34-year-old male with no past medical history was hospitalized for progressive weakness, numbness, and tingling of his extremities for 2 weeks. He denied fevers, headache, neck pain, or bowel/bladder complaints. He smoked 10 cigarettes and drank 24 to 48 oz beer daily. He admitted to social marijuana and cocaine use. He worked [...]

Case Presentation: A 51-year-old male presented to the Emergency Department with a chief complaint of fever, chills, and generalized malaise for several days. He denied any additional associated symptoms, denied recent travel, recent dietary changes, recent dental work, exposure to sewers, adventurous sex, unintentional weight loss, headaches, vision changes, neck stiffness, night sweats, chest pain, [...]

Case Presentation: A 77-year-old male with a history of bladder cancer who had not seen a primary care physician in 11 years presented to the emergency department (ED) for progressive decline in his mental status over 4-6 weeks, with significant worsening starting one week before his ED assessment. Associated symptoms included fatigue, constipation, and decreased [...]

Case Presentation: A 76-year-old female noted left fourth- and fifth-digit pain on day 12 receiving trimethoprim/sulfamethoxazole (TMP/SMX) and linezolid for purulent collections of Nocardia abscessus complex in the right gluteal and paraspinal muscles. She had a medical history of atrial fibrillation on apixaban, heart failure with preserved ejection fraction, and a history of deceased donor [...]

Case Presentation: A 63-year-old woman with end-stage renal disease on dialysis and bilateral lung transplant was admitted from a rehab facility with generalized weakness and anemia in the setting of missed dialysis. At presentation, she had fluid-responsive hypotension, borderline fever, and a normal heart rate. She had no localizing infectious signs or symptoms. An infectious [...]

Case Presentation: A man in his early 20s with hypothyroidism and low testosterone (on levothyroxine and testosterone) presented with fatigue and a 100-pound weight loss over 10 months. He denied systemic symptoms (e.g., fever, night sweats) or other medications. There was a possible family history of liver disease. On exam, he was afebrile (36.6°C), hypotensive [...]

Case Presentation: This case highlights a 31-year-old female who presented with severe post-prandial abdominal pain and night sweats who was identified to have marked thrombocytosis (2.5million) with only a mild leukocytosis(20K). The patient was admitted to the hospital for urgent evaluation given the risk of untreated extreme thrombocytosis. A bone marrow biopsy was conducted which [...]