Case Presentation: A 71-year-old woman with a past medical history of hypertension presented for right sided flank pain and post-menopausal bleeding. The initial CT abdomen and pelvis demonstrated bilateral pleural effusions, diffuse lymphadenopathy, and right sided ureteropelvic junction (UPJ) stenosis with hydronephrosis. She underwent lymph node fine needle aspiration (FNA) and then transferred to our [...]

Case Presentation: A 33-year-old man sought medical evaluation due to an ongoing cough which had persisted following infection with COVID-19. His chest xray (CXR) was negative at that time and he was discharged with symptomatic treatment. He presented again five months later due to persistent cough non-responsive to symptomatic treatment and underwent another CXR which [...]

Case Presentation: A 72-year-old woman with a past medical history significant for chronic obstructive pulmonary disease (COPD) and tobacco use disorder presented to the emergency department due to significant bilateral hand and lower extremity swelling and pain for the past several months. She denied respiratory symptoms, radicular pain, tingling, or weakness of her upper and [...]

Case Presentation: Hypercalcemia can have adverse effects on the body. Rarely a sign in and of itself, its presence is characteristically associated with an underlying condition. There are usual suspects to consider in the differential but when workup for those return unremarkable, it becomes a challenge to find the underlying etiology.An 80-year-old female with a [...]

Case Presentation: A 62 year old homeless male with no significant past medical history presents to a large tertiary referral center after being found unresponsive by police. Vital signs: 99.2 F, HR 86, RR 17, BP 160/81. Labs: Lactic acid 2.9, WBC 26.35, CRP 150.60, urine drug screen negative. CT imaging revealed evidence of ureteral [...]