Case Presentation: The patient is an 80-year-old female with a history of urothelial cancer of the bladder status post transurethral resection and intravesical Bacillus Calmette-Guerin (BCG) treatment, gastrointestinal stromal tumor status post partial gastrectomy, and atrial fibrillation. Two years after completion of intravesical BCG treatment, surveillance computed tomography (CT) imaging showed a penetrating ulcer of [...]

Case Presentation: A 39-year-old male with a history of seizure disorder, depression, and alcohol use disorder presented to the emergency room with new-onset jaundice and a two-week history of fatigue, decreased appetite, and dark orange urine. Social history notable for intermittent and progressive alcohol use starting at the age of 18, with most recent liquor [...]

Case Presentation: A 38-year-old woman with a history of recent pelvic fractures presented for admission per her primary care physician due to progressive hip pain and difficulty ambulating, with the hope of expediting a diagnosis of the underlying etiology. Patient had had multiple recent presentations with similar complaints. Imaging studies prior to admission revealed bilateral [...]

Case Presentation: A 42 year-old man with a past medical history of alcohol use disorder, depression and prior suicide attempt who was admitted to psychiatry after a gabapentin overdose while intoxicated. His home medications included sertraline, naltrexone, and gabapentin. Ethanol level on admission was 204 mg/dL. Sertraline was continued and he was started on trazodone [...]

Case Presentation: We describe a 49-year-old Latino male treated for Brucellosis infection due to Brucella melitensis (B. melitensis). The patient presented to the emergency department (ED) with 2-weeks of fevers, night sweats, 27lb weight loss, nausea, and diarrhea. In the ED, the patient had a fever of 102.2F, tachycardia (97bpm), moderate hyponatremia (128), hypokalemia (2.8), [...]

Case Presentation: A 69-year-old male with a past medical history of hyperlipidemia presented with sudden onset severe bilateral lower extremity (LE) weakness ascending to his bilateral upper extremities (UE) and neck following a tooth extraction the day prior. Symptom onset was the night after the tooth extraction. The patient reported being immobilized on the bathroom [...]

Case Presentation: A 37-year-old Thai male with a history of gout presented with a progressively worsening rash. The rash began 10 days earlier following a work trip to Utah, initially appearing on the back of his hands and gradually spreading to his arms, trunk, and legs, accompanied by pruritus. Four days prior to admission, the [...]

Case Presentation: A 54-year-old female presented to the Emergency Department (ED) with acute onset right leg weakness. Her medical history included recurrent cryptogenic strokes, fibromuscular dysplasia (FMD) involving the bilateral internal carotid arteries (ICAs), thrombocytopenia presumed to be immune thrombocytopenic purpura, and heterozygous Factor V Leiden and prothrombin G20210A gene mutations. Initial physical exam revealed [...]

Case Presentation: A 66-year-old female with a history of Crohn’s disease (CD) and Stage IV chronic kidney disease presented with a 2-day history of acute-onset numbness and tingling of bilateral hands and feet. The patient has a long-standing history of CD and underwent a right hemicolectomy with end ileostomy at the age of 13. She [...]

Case Presentation: We present the case of a 77-year-old man admitted with failure to thrive and progressive dyspnea. He had a 6-year history of lung squamous cell carcinoma and a recent history of immune checkpoint inhibitor (ICI) toxicity (myocarditis, pneumonitis, and hepatitis), currently on week 27 of a prednisone taper (35 mg daily). He was [...]