Articles
A Patient with Liver Lesions
Renzo A. Moreno Macedo, MD
A 57-year-old woman presented to the emergency department with one week of cough and subjective fever. Chest imaging showed no pulmonary abnormalities, but multiple liver lesions were incidentally identified. She had no abdominal pain or ga...
A Postoperative Patient with Hypoxia and an Abnormal Chest Radiograph
Mohammed K. Zubaidi, MD, Ali J. Ahmed, MD
A 67-year-old woman with a history of breast cancer developed an oxygen saturation of 70% one hour after radical mastectomy with axillary lymph node dissection. She was tachypneic; her other vital signs were within normal limits. An anterop...
Carried Away
Alec Rezigh, MD
A reflection on caring for a young uninsured patient whose primary hyperparathyroidism went undiagnosed for years until a car accident finally forced admission. An honest reckoning with the gratitude patients extend to a healthcare system t...
Twists of Fate
Jeffrey Shen, MD, Austin Rezigh, MD, Marcela Araujo de Oliveira Santana, MD, Alec Rezigh, MD
A young man with inflammatory bowel disease on immunosuppressive therapy presented with acute gastrointestinal symptoms and evolving systemic abnormalities. Initial evaluation favored common infectious and inflammatory etiologies; however, ...
A Young Woman with Recurrent Lymphadenopathy and Fatigue
Jeffrey Shen, MD
A young woman with a two-year history of recurrent cervical lymphadenopathy, fatigue, and systemic symptoms underwent an extensive evaluation for infectious, malignant, and autoimmune causes, all of which were unrevealing. Despite persisten...
A Febrile Patient with an Abnormal ECG
Alec Rezigh, MD, Stephanie Sherman, MD, Zaven Sargsyan, MD
A 60-year-old woman presented to the emergency department with two weeks of progressive malaise, anorexia, and fever. Evaluation revealed leukocytosis, thrombocytopenia, and acute kidney injury. Murine typhus was suspected and confirmed ser...