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Brief Case

October 23, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Cases from LSU Health New Orleans

Salicylate toxicity, mucormycosis, and more.

Seth M. Vignes, MD, ACP Member; Nikki Arceneaux, MD, ACP Resident/Fellow Member; Pooja Goel, MD; Charlie Woodall, DO, ACP Resident/Fellow Member; Nali Gillespie, MD, ACP Resident/Fellow Member; Hannah Rader, MD, ACP Resident/Fellow Member; Thomas Diess, MD; David Nguyen, MD; Brian Coe MD, ACP Resident/Fellow Member; Maren Bell, MD; Hina Qureshi, MD, ACP Resident/Fellow Member; Michael Olejniczak, MD, ACP Resident/Fellow Member; Humza Malik, MD, ACP Resident/Fellow Member; Michael Modica, MD, FACP; Kyle Hoppens, MD; Ross E. McCarron, MD; and Fred A. Lopez, MD, MACP
September 25, 2024 | FREE
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Severe rhabdomyolysis following COVID-19 infection

A patient was admitted with upper respiratory infection, dark urine, and myalgias.

Kaitlin Cole, ACP Medical Student Member*; Trevor Sterling, MD*; and Anup Patel, MD
August 21, 2024 | FREE
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Spurious hyperphosphatemia in a multiple myeloma patient

A patient with multiple myeloma had lethargy, disorientation, and several abnormal labs.

Nicole Tesoro, MD, ACP Transitional Medical Graduate Member; Gerard Lowder, MD, FACP; and Sumanth Bandaru, MD, ACP Member
July 24, 2024 | FREE
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Diabetic ketoacidosis in a prediabetic patient on ophthalmic steroids

The patient presented with fatigue, polydipsia, and polyuria after surgery for spontaneous retinal detachment.

Kelly Szymanski, MD, ACP Resident/Fellow Member; Ryan Kovacik, DO, ACP Resident/Fellow Member; Barbara Cooper, MD; and David Cohen, MD, FACP
June 12, 2024 | FREE
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Dapsone-induced methemoglobinemia and hemolytic anemia

A patient being treated for lupus with cutaneous manifestations presented with gradual shortness of breath of about a month's duration.

Nikhil Sood, MD, ACP Member, and Venkata Buddhavarapu, MD, ACP Member
April 3, 2024 | FREE
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Disseminated varicella infection in an immunocompromised patient

A patient with a history of liver transplant presented with a progressive rash.

Poonam Tawde, MS, ACP Medical Student Member, and Gerard Chamberlin, MD, MPH, ACP Member
February 28, 2024 | FREE
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Cases from the Medical College of Wisconsin

A mycotic aneurysm, retroperitoneal hematoma, and more.

Mark Ehioghae, MSc, ACP Medical Student Member; Pinky Jha, MD, MPH, FACP; Harini Shah, BS, ACP Medical Student Member; Anu Taylor, MD, ACP Member; Brian Buggy, MD, FACP; Gabriel Mikhael, MD, FACP; Nana Danso, BS, ACP Medical Student Member; Nikita Piryani, BS, ACP Medical Student Member; Abhijai Singh, MD, ACP Member; Chiemerie Ogbonnaya, BS, ACP Medical Student Member; Hari Anandarajah, BS, ACP Medical Student Member; Devesh Kumar, BS, ACP Medical Student Member; Natalie Anumolu, BS, ACP Medical Student Member; Jack Geiger, DO; Narendra Veerapaneni, MD, FACP; Antoni Wojtkowski, MD, FACP; Brian Quinn, MD, FACP; Raquel Valdes, BA, ACP Medical Student Member; Jasmine Garcia, BS, ACP Medical Student Member; Melissa Weekes, MD, ACP Member; and Devin Madenberg, DO, FACP
January 31, 2024 | FREE
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Advanced dementia and respiratory failure

A case highlights the importance of addressing prognosis before making care decisions.

Bonnie C. Sohn, MD, FACP, and Christina Ying-Ying Chen, MD
December 20, 2023 | FREE
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Babesiosis

An older patient with multiple comorbidities presented with headaches, fevers, myalgias, arthralgias, and some loss of balance.

Daniel T. Mulcahy, DO, ACP Member
November 1, 2023 | FREE
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Spinal epidural abscess

A patient presented with acute-on-chronic lumbosacral back pain and new-onset urinary incontinence.

Ben Ayotte, MD, ACP Member, and Zachary Merten, MD
September 13, 2023 | FREE
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Recurrent primary spontaneous pneumothorax

A patient with HIV presented with chest tightness and lightheadedness.

Charlene (Wei) Tang, ACP Medical Student Member; Joo Young Kang, ACP Medical Student Member; and Farzana Hoque, MD, MRCP, FACP
August 9, 2023 | FREE
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Cases from the University of Nevada, Las Vegas

A group of cases involving lytic lesions.

Neilmegh Varada, DO, ACP Member, and Russell Gollard, MD, FACP
July 12, 2023 | FREE
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Cefepime-induced neurotoxicity

An elderly patient presented with confusion three days after a hospitalization for osteomyelitis.

Carly Weber, DO, ACP Resident/Fellow Member; Gianna Toglia, DO, ACP Resident/Fellow Member; Sophia Panaccione, MD, ACP Resident/Fellow Member; David Cohen, MD, FACP; and Marisa Caminos, ACP Medical Student Member
May 31, 2023 | FREE
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Hypercalcemia from calcium sulfate antibiotic beads

A patient was admitted with right hip pain from a chronic prosthetic joint infection.

Fatima Halilu, MD, ACP Resident/Fellow Member, and Hui Peng, MD
March 29, 2023 | FREE
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Rapidly progressive cerebral edema in cryptococcal meningitis

A patient previously diagnosed with an upper respiratory infection presented with fever, headache, and confusion.

Farah Olleik, MD, ACP Resident/Fellow Member; Stefanie Gallagher, MD, ACP Resident/Fellow Member; Shilpa Rao, MD; and Daniel Wang, MD, ACP Member
March 15, 2023 | FREE
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Superior vena cava occlusion without malignancy

A patient with end-stage renal disease presented with one week of facial and left-arm edema.

Christian Scherer, DO, ACP Member; Rebecca L. Nekolaichuk, MD, ACP Member; and Alejandro Moreno, MBBS, MPH, JD, MACP
February 22, 2023 | FREE
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Cases from the University of Massachusetts

Acute drug-induced pancytopenia, liver injury, anaplasmosis, and more.

Yamna Jadoon, MD, ACP Resident/Fellow Member; Prarthna Bhardwaj, MD, ACP Resident/Fellow Member; Taroob Latef, MD, ACP Resident/Fellow Member; Muhammad Bilal, MD, ACP Resident/Fellow Member; Rowha Jawed Latef, MD; Aleezay Asghar, MD, ACP Resident/Fellow Member; Esteban A. DelPilar-Morales, MD; and Kush Gupta, MD, ACP Resident/Fellow Member
January 18, 2023 | FREE
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Pseudo-Wellens syndrome with Takotsubo cardiomyopathy

A patient was transferred for evaluation for non-ST-segment elevation myocardial infarction.

Kristopher S. Pfirman, DO, ACP Member; Travis Huffman, MD; Collins Garst, DO; and Mohammed Kazimuddin, MD
December 7, 2022 | FREE
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Cranial nerve III palsy

A patient with kidney disease and diabetes presented with diplopia and severe left-sided ptosis.

Matthew Beck, DO, ACP Resident/Fellow Member, and William Surkis, MD, FACP
October 26, 2022 | FREE
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An atypical presentation of microscopic polyangiitis

A patient was admitted after outpatient labs indicated acute worsening of kidney disease and anemia.

Lillian Peng, MD
September 28, 2022 | FREE
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Sumatriptan-induced polymorphic ventricular tachycardia

A patient with atypical chest pain and negative stress tests suddenly became pulseless.

Keegan Plowman, MD, ACP Resident/Fellow Member, and Madeline Deutsch, MD, ACP Member
August 24, 2022 | FREE
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Glycogenic hepatopathy

A 21-year-old man with type 1 diabetes presented to the hospital with nausea, vomiting, and abdominal pain. Physical exam showed hepatosplenomegaly.

Joseph Raco, MD, ACP Resident/Fellow Member, and Matthew Lipinski, DO
July 13, 2022 | FREE
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Disseminated histoplasmosis with CNS involvement

A patient progressed from diarrhea and fever to status epilepticus when infection penetrated the central nervous system (CNS).

Geoffrey Welch, MD, ACP Resident/Fellow Member
June 15, 2022 | FREE
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Pneumocystis pneumonia in an HIV-negative patient

A patient with primary hyperparathyroidism, rheumatoid arthritis, and inclusion-body myositis presented with fatigue, nausea, and vomiting.

Ben Ayotte, MD, ACP Member
April 20, 2022 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Syphilis cases from Thomas Jefferson University

Four cases highlight the varied complications and presentations of syphilis.

Mary Ferranti, MD, ACP Resident/Fellow Member; Travis Hunt, MD, ACP Resident/Fellow Member; and Devin Weber, MD, FACP
March 9, 2022 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Infected femoral closure device after cardiac catheterization

A patient presented with cellulitis at a vascular access site 10 days after undergoing cardiac catheterization.

Ahsan Syed, MD, ACP Resident/Fellow Member; Carlos Vargas, DO; and Thomas Alexander, MD, ACP Member
January 12, 2022

Hypercalcemia after silicone injections

A patient presented with nausea, loss of appetite, and weight loss of approximately 20 pounds. Lab tests revealed hypercalcemia.

Rachel Abramczyk, DO, ACP Member; Sophia Panaccione, DO, ACP Resident/Fellow Member; Deebeanne Tavani, DO, PhD; and David Cohen, MD, FACP
November 2021

Tuberculosis presenting with gastrointestinal symptoms

The patient's chief symptom was watery diarrhea for the past 10 days.

Mohamad A. Minhem, MD, ACP Resident/Fellow Member; Parastoo Taravati, MD; and Dragana Radovanovic, MD
November 2021

Median arcuate ligament syndrome

The patient had a history of waxing and waning upper abdominal pain.

Katelyn Madigan, MD, ACP Resident/Fellow Member, and Chi-Cheng Huang, MD, FACP
September 2021

Tuberculosis presenting with gastrointestinal symptoms

The patient's chief symptom was watery diarrhea for the past 10 days.

Mohamad A. Minhem, MD, ACP Resident/Fellow Member; Parastoo Taravati, MD; and Dragana Radovanovic, MD
September 2021

Autoimmune hepatitis with rash and diarrhea

A patient with hypertension presented with one month of increasing abdominal girth.

Justin Bauzon, ACP Medical Student Member; Neilmegh Varada, MD, ACP Resident/Fellow Member; and Yassin Naga, MD, ACP Resident/Fellow Member
July 2021

Pyogenic flexor tenosynovitis

A patient presented with pain, swelling, and erythema of the right thumb.

Farzana Hoque, MD, ACP Member
July 2021

Mechanism of pauses on telemetry

A patient presented with multiple episodes of transient unresponsiveness.

Shiyang Zhang, MD, and Amit Noheria, MBBS
June 2021

A collection of individual cases

Acne conglobate, rhabdomyolysis, and more.

Anthony Criscitiello, ACP Medical Student Member; Billy Zhang, MD, ACP Resident/Fellow Member; Cristina Lanzillotta, MD; Calvin Zhang, BS, ACP Medical Student Member; Meera Malhotra, MD, FACP; Mir Zulqarnain, DO, ACP Resident/Fellow Member; Paul Hanna, MD; Jayshil Patel, MD; Jeffrey C. Powell, MS, ACP Medical Student Member; Nathan Anderson, MD; Jennifer Hadley, BS, ACP Medical Student Member; Christopher M. Morris, MD, ACP Member; Margaret Greven, MD; and Chi-Cheng Huang, MD, FACP
April 2021

Online case: De Winter's sign in acute coronary syndrome

A man was hospitalized for severe substernal chest pressure radiating to his left arm.

Kristopher Pfirman, DO; Evan Gleaves, DO, ACP Resident/Fellow Member; Sameer Saleem, MD; Aniruddha Singh, MD; and Mohammad Abdul-Waheed, MD
April 2021

Individual case: Immunocompetent cryptococcal meningitis presenting as hearing loss

A patient's tinnitus in both ears progressed to bilateral hearing loss.

Anup Solsi, MD, ACP Resident/Fellow Member; Catharine Kral, BS; Jeffrey Miller, MD, ACP Member; and Dawood Findakly, MD, ACP Resident/Fellow Member
April 2021

Cases from Oregon Health & Science University

Emphysematous pyelonephritis, copper deficiency, and more.

Morris M. Kim, MD, ACP Resident/Fellow Member; Peter S. Fong, MD, ACP Resident/Fellow Member; Zachary G. Jacobs, MD; Brian McGarry, MD, ACP Resident/Fellow Member; Sajan Gill, MD; David Sauer, MD; Patricia Fenderson, MD, PhD; Stephanie Halvorson, MD, FACP; Raj Nagappan, MD, ACP Resident/Fellow Member; Jonathan Taylor, MD, ACP Resident/Fellow Member; Peter Sullivan, MD, FACP; Lexy Fancher-Dominguez, MD, ACP Resident/Fellow Member; Stephen Lockwood, ACP Medical Student Member; Simone E. Dekker, MD, PhD, ACP Resident/Fellow Member; Sima Desai, MD, FACP; Ryan M. Kane, MD, MPH, ACP Resident/Fellow Member; Caroline Doan, DO, ACP Resident/Fellow Member; and Kevin Piro, MD, ACP Member
January 2021

Individual case: A complete esophageal lumen obstruction

A patient with head and neck cancer presented with a fever and dry mouth.

Anupama M. Kapadia, MD, ACP Resident/Fellow Member, and Alejandro Moreno, MBBS, MPH, JD, MACP
January 2021

Cases from Legacy Health

Seizure-associated code-switching, hemolytic uremic syndrome, and more.

Manuel Lewis, DO, ACP Resident/Fellow Member; Allison Miller, MD, ACP Resident/Fellow Member; Erin Staples, MD, BScRN, ACP Resident/Fellow Member; Lindsay Southgate, MD, ACP Resident/Fellow Member; Stephanie Frana, MD, MPH, ACP Member; and Elizabeth Estabrook, MD
November 2020

A collection of individual cases

Cardiac repolarization, Takayasu arteritis, and more.

September 2020

Cases from MedStar Washington Hospital Center

Cryoglobulinemic vasculitis, goiter, Chagas disease, and more.

Kosuke Yasukawa, MD, FACP; Ana Kavtaradze, MD, ACP Member; Michael Cardis, MD; Caroline Argyros, PA-C; Rosemarie Rollins, MD, FACP; Jennie Zhang, DO; Rooma Nankani, MD; Sindhu Naresh, MBBS; Silpa Kodali, MD; and Sandeep Raparla, MD
September 2020

Individual case: Anaphylaxis and contact dermatitis from electrocardiogram electrode pads

A patient had both delayed and immediate allergic reactions.

Vima Patel, MD; Matthew Danish, MD; and Catherine Monteleone, MD
July 2020

Individual case: Coxsackievirus B infection

A patient on pre-exposure prophylaxis presented with fever, headache, and other symptoms.

Zachary D. Pfeifer, MD, and Maria G. Frank, MD, FACP
July 2020

Cases from Oregon Health & Science University

Thrombus-in-transit, serotonin syndrome, leptospirosis, and more.

Rachel A. Westwood, MD, ACP Resident/Fellow Member; Kyle Kent, MD, ACP Member; Matthew O’Donnell, DO, ACP Resident/Fellow Member; Alan J. Hunter, MD, FACP; Asad Arastu, MD, ACP Resident/Fellow Member; Malinda West, MD; Thomas DeLoughery, MD, MACP; R. Logan Jones, MD; and Thomas J. Prendergast, MD
March 2020

Bonus online case: Insulinoma with Whipple's triad

A patient reported repeated episodes of symptomatic hypoglycemia.

Bonnie C. Sohn, MD, FACP
March 2020

Individual case: Polyendocrinopathy with lithium use

A patient with bipolar disorder was admitted due to hypercalcemia.

Caryn E. Peters, PA-C, MPAS; Melissa Whipple, MD, ACP Resident/Fellow Member; Jace Meng, PA-C, MPAS; and Santosh P. Reddy, MD, FACP
March 2020

Cases from the Medical College of Wisconsin

Cases of pheochromocytoma, Kikuchi-Fujimoto disease, and more.

Karen Thompson, MD; Christa Koeller, MS; Yogita Segon, MD, ACP Member; Pinky Jha, MD, FACP; Samantha Durbin, MD; Sanjay Bhandari, MD, ACP Member; Cameron Malone, MD; Lucian Dorneanu, MD, ACP Resident/Fellow Member; Sushma Raju, MD; and Peter Cote, MD
January 2020

POCUS cases from Mayo Clinic

A group of cases involving the use of point-of-care ultrasound.

Michael Breunig, PA-C; Corbin Plooster, PA-C; and Thomas Kingsley, MD, MPH, ACP Member
January 2020

Bonus online case: Pulmonary coccidioidomycosis

The patient had been seen repeatedly for progressive dyspnea and a dry cough.

Megan E. Hansen, MD, ACP Resident/Fellow Member
January 2020

Individual case: Streptococcus agalactiae infective endocarditis

The patient presented with progressive weakness of the extremities that had become so severe he could not walk.

Andrew De La Paz, MD, ACP Resident/Fellow Member
November 2019

Bonus online case: Cannabis-induced acute pancreatitis

This patient had been admitted repeatedly with symptoms of pancreatitis.

Syed Ali Abbas, MD; Hamza Ahsan, MD, ACP Resident/Fellow Member; and Karishma Kitchloo, MD
November 2019

Individual case: Thrombotic thrombocytopenic purpura

A patient presented to the ED with recent fever and rectal pain with a small amount of bleeding.

Daniel T. Mulcahy, DO, ACP Member
November 2019

Individual case: Follicular thyroid cancer

A patient presented with sore throat, neck pain, trouble swallowing, and recent weight loss.

Namra Butt, MD, MBChB, ACP Resident/Fellow Member; Gennadiy Elikman, MD; Sara Hammer, BS, ACP Medical Student Member; and Nahren Asado, MBChB
November 2019

Cases from the Medical College of Wisconsin

A group of cases focused on preoperative evaluation.

Brian Quinn, MD, ACP Member; Chad Wenzel, MD, ACP Member; Sara Dunbar, DO, ACP Member; and Shpresa Shyti, ANP
October 2019

Cases from Oregon Health & Science University

Red-cell aplasia, septic thromboembolus, and more.

Johnny Cai, DO, ACP Resident/Fellow Member; Emilio Sulpizio, MD, ACP Resident/Fellow Member; Emily Fay, MD, ACP Resident/Fellow Member; Michael Heinrich, MD, FACP; Joel R. Burnett, MD, ACP Resident/Fellow Member; Kelsi L. Manley, MD, ACP Resident/Fellow Member; Kevin Piro, MD, ACP Member; Whitney Elg-Salsman, DO, ACP Resident/Fellow Member; Anna K. Brady, MD; Miles Grovenburg, MD, ACP Resident/Fellow Member; James Clements, MD, ACP Member; Joseph Shatzel, MD; Justin Lewis, MD, ACP Resident/Fellow Member; and Christina Flaxel, MD
September 2019

Bonus online case: Calcium-channel blocker overdose

A patient presented after a suicide attempt involving calcium-channel blockers.

Daniel Griffin, DO; Mary Grace Griffin, DO, ACP Member; and Igor Gostyuzhev, BScN
September 2019

A collection of individual cases

Catastrophic antiphospholipid syndrome, diabetic muscle infarction, and more.

Gurbaj Singh, MD, ACP Member; Kiranveer Kaur, MD, ACP Member; Radhika Kalaria, MD; Li-Teh Wu, MD; Amy Cohen, MD, ACP Resident/Fellow Member; Thomas Oliver, DO, ACP Member; David Fried, MD, ACP Member; Helen H. Lin, MD; Thomas Iden, MD; Oveimar De La Cruz, MD; Dipesh Ludhwani, MD, ACP Resident/Fellow Member; Sally Jreisat, MD; and Faysal Saab, MD, ACP Member
July 2019

Bonus online case: Acute CMV infection

A patient with four weeks of fevers diagnosed with cytomegalovirus (CMV) infection.

Peter Yen, MD, ACP Member
July 2019

Individual case: Primary angiitis of the central nervous system

A patient with hallucinations and headache is found to have a rare form of vasculitis.

Prerna Dogra, MD, FACP
July 2019

Cases from the University of Pittsburgh

A group of cases involving the use of point-of-care ultrasound.

Steven Fox, MD, ACP Member; Thomas Robertson, MD; Michelle Fleshner, MD, ACP Resident/Fellow Member; Ayako Wendy Fujita, MD, ACP Resident/Fellow Member; and Thuy Bui, MD, FACP
May 2019

Bonus online case: Antiphospholipid syndrome and bilateral adrenal hemorrhage

A patient with a history of antiphospholipid antibody syndrome and new abdominal pain.

Eric Fox, DO, ACP Resident/Fellow Member; Thomas Oliver, DO, ACP Resident/Fellow Member; Olga Vitorsky, DO, ACP Resident/Fellow Member; Melissa Rowe, DO, ACP Resident/Fellow Member; and David A. Cohen, MD, FACP
May 2019

Individual case: Intestinal tuberculosis

A patient with intractable abdominal pain and non-bloody, watery diarrhea who recently immigrated from Cuba.

Sima Patel, MD, ACP Resident/Fellow Member; Micaella Kantor, MD, ACP Resident/Fellow Member; Ilde Lee, MD; and Jose Gascon, MD, ACP Member
May 2019

Cases from Scripps Mercy Hospital San Diego

Leukemia cutis, cerebral venous sinus thrombosis, and more.

Marie Bernardo, MD; Arsh Chopra, MD; Michelle Miles, DO, MS, ACP Resident/Fellow Member; Jonathan Harrison, MD, ACP Resident/Fellow Member; Eric Dahms, MD, FACP; Omar Khayyat, MD, ACP Resident/Fellow Member; Ni Mo, DO, ACP Resident/Fellow Member; and Patricia K. Riggs, DO, ACP Resident/Fellow Member
March 2019

Bonus online case: Cytomegalovirus immune recovery uveitis in AIDS

A patient with AIDS and subacute monocular vision deterioration.

Jay Brahmbhatt, MD, ACP Resident/Fellow Member
March 2019

Individual case: Drug reaction with eosinophilia and systemic symptoms

A patient with fever and rash during treatment for orbital cellulitis and cavernous sinus thrombosis.

Juan Alban, ACP Medical Student Member; Sarah Saleemi, MD, ACP Resident/Fellow Member; Timothy Sita, MD, PhD; Tristan Bice, MD, ACP Resident/Fellow Member; Lily Rotman, MD, ACP Resident/Fellow Member; and Ryan Bolton, MD
March 2019

Cases from Oregon Health & Science University

Red-cell aplasia, septic thromboembolus, and more.

Johnny Cai, DO, ACP Resident/Fellow Member; Emilio Sulpizio, MD, ACP Resident/Fellow Member; Emily Fay, MD, ACP Resident/Fellow Member; Michael Heinrich, MD, FACP; Joel R. Burnett, MD, ACP Resident/Fellow Member; Kelsi L. Manley, MD, ACP Resident/Fellow Member; Kevin Piro, MD, ACP Member; Whitney Elg-Salsman, DO, ACP Resident/Fellow Member; Anna K. Brady, MD; Miles Grovenburg, MD, ACP Resident/Fellow Member; James Clements, MD, ACP Member; Joseph Shatzel, MD; Justin Lewis, MD, ACP Resident/Fellow Member; and Christina Flaxel, MD
January 2019

Bonus online case: Partial anomalous pulmonary venous return

A patient with worsening exertional dyspnea, lower extremity edema, and orthopnea.

Solaiman Chowdhury, MD, ACP Resident/Fellow Member, and Tamanna Nahar, MD, ACP Member
January 2019

Individual case: Cardiac tamponade and acute liver failure

A transfer patient with atrial fibrillation and acute liver failure.

Andrew Lange, MD, ACP Member, and Christopher Sankey, MD, FACP
January 2019

Cases from John H. Stroger Jr. Hospital of Cook County

Cutaneous tuberculosis, spontaneous tumor lysis syndrome, and more.

Michael J. Hoffman, MD; Udit Joshi, MD, ACP Resident/Fellow Member; Shweta Gupta, MD, FACP; Vijaya Mukthinuthalapati, MD; Omid Behnamfar, MD, ACP Resident/Fellow Member; Poushali Bhattacharjee, MD, MS, ACP Member; and Anthonia Ijeli, MD
January 2019

Individual brief case: Cardiac tamponade and acute liver failure

A transfer patient with atrial fibrillation and acute liver failure

Andrew Lange, MD, ACP Member, and Christopher Sankey, MD, FACP
November 2018

Cases from St. Louis University

Wernicke's encephalopathy, idiopathic splenic infarction, and more

Keniesha Thompson, MD, ACP Member; Ritesh Rampure, MD, ACP Member; Daniele Valentini, MD, ACP Resident/Fellow Member; Arfaa Ali, MD, ACP Member; Sarah Chan, ACP Medical Student Member; Ashley Chapel, MD, MPH, ACP Resident/Fellow Member; Hiral Choksi, MD, FACP; Swapna Kolli, MD, ACP Member; and Rory Deol, MD
September 2018

A collection of individual cases

Hemoglobin SC disease, “cotton fever,” esophageal hemorrhage, and more.

Natalie Hale Wallace, MD, MPH; Tao Liu, MD; Robert Nardino, MD, FACP; Daniel T. Mulcahy, DO, ACP Member; Kim Soleymani, PA-C; Yash Mittal, MD, ACP Resident/Fellow Member; David C. Kunkel, MD; Christopher Murray, MD, ACP Resident/Fellow Member; Lukman Lawal, MD; Tamanna Nahar, MD, ACP Member; Timothy Hunter, MD, ACP Resident/Fellow Member; and Julie M. Chen, MD, FACP
July 2018

Cases from the University of Wisconsin

Blastomycosis-induced ARDS, medication-associated microscopic colitis, and more.

Dana Ley, ACP Medical Student Member; Sarah Ahrens, MD, FACP; Scott Wilson, DO, FACP; and Sean M. O’Neill, MD, FACP
May 2018

Cases from Emory Division of Hospital Medicine

Cutaneous lupus erythematosus, histoplasmosis, Heyde's syndrome, and more.

Rumman Langah, MD, FACP; Noble Maleque, MD, FACP; Aaron Gluth, MD, ACP Member; Dan Hunt, MD, FACP; Mohamed Seedahmed, MD, FACP; Ketino Kobaidze, MD, PhD, FACP; Imre Bodo, MD, PhD; James Stewart, MD; Haritha Katakam, MD, ACP Member; Federico Palacio Bedoya, MD; David A. Krakow, MD; Zanthia Wiley, MD; and Karen Clarke, MD, FACP
March 2018

Cases from the Kaiser Permanente Santa Rosa Medical Center

Infective endocarditis, milk-alkali syndrome, and multiple myeloma.

Stephen Huynh, BA; Michael Yoo, MD, FACP; Jason Andrade, MS; and Wendy Zhou, BA
January 2018

Cases from the University of Connecticut

Acetaminophen overdose, refractory afib, critical aortic stenosis, and more.

Rohini Manaktala, DO, ACP Resident/Fellow Member, and Denise Francisco, MD, ACP Resident/Fellow Member
November 2017

A collection of individual cases

Hypercalcemia of malignancy, euglycemic diabetic ketoacidosis, VTE in Klinefelter syndrome, and more.

Peter Yen, MD, ACP Member; Dilan Patel, MD; Rakhee Bhayani, MD; Rong Zhang, MD; Vinit Varghese Oommen, MD, ACP Resident/Fellow Member; Jasleen Minhas, MD, ACP Resident/Fellow Member; Haren Patel, MD, ACP Resident/Fellow Member; Rocio Cardona, MD; Nicolas Cortes-Penfield, MD, ACP Resident/Fellow Member; Sanjay Mediwala, MD; and Tariq S. Marroush, MD, ACP Resident/Fellow Member
September 2017

Cases from St. Joseph Mercy Ann Arbor

Amyloid cardiomyopathy, Haemophilus influenzae infection, metastatic melanoma and more.

Sindhu Avula, MD, ACP Resident/Fellow Member; Bathmapriya Balakrishnan, MD, ACP Resident/Fellow Member; Dima Youssef, MD, ACP Resident/Fellow Member; Zeyad Sako, MD, ACP Resident/Fellow Member; Shraddha Desai, MD, ACP Resident/Fellow Member; and Richard Shellenberger, DO, FACP
July 2017

Cases from the Medical College of Wisconsin

Ocular syphilis, cefepime neurotoxicity, primary empty sella, and more.

Jeremiah Stromich, MD, ACP Resident/Fellow Member; Jamal Saleh, MD; Pinky Jha, MD, MPH, FACP; Sushma Bangalore-Raju, MD, ACP Member; Allison Bock, MD; Meenu Singh, MD; Geoffrey Lamb, MD, FACP; Sudhi Tyagi, MD; Kurt Pfeifer, MD, FACP; Alexander Katz, MD; Janak Wagle, MD, ACP Member; Geetanjali Dang, MD; Kory Koerner, MD, FACP; and Mona Lalehzari, MD
May 2017

A collection of individual cases

Pernicious anemia, acute disseminated encephalomyelitis, Entamoeba histolytica liver abscess, and more

Eric A. Meyerowitz, MD, ACP Resident/Fellow Member; Rami Eltaraboulsi, MD, ACP Resident/Fellow Member; Eric Stern, MD; Pooja Mehra, MD, ACP Resident/Fellow Member; Alexander Millard, MD; Andrew Parsons, MD, MPH, ACP Member; William Johnson, DO, ACP Resident/Fellow Member; Ryan C. Miller, DO; Zonera Ali, MD; Elizabeth Heisler; and Kosuke Yasukawa, MD, ACP Member
March 2017

Cases from Brooke Army Medical Center

Sphincter of Oddi dysfunction, GI stromal tumor, alcoholic hepatitis, and more.

Maj. Luis Velez-Colon, MD, ACP Member; Maj. Adam Smith, MD; Maj. John Magulick, MD, ACP Resident/Fellow Member; Lt. Col. Charles Miller, MD; and Maj. Allyson Cochet, MD, ACP Member
January 2017

Cases from Baylor College of Medicine

Diabetic neuropathic foot arthropathy, acute bacterial prostatitis, tuberculous peritonitis, and more

Stephanie V. Sherman, MD; Zaven Sargsyan, MD; Krishna Sajja, MD; Lubna Khawaja, MD; and Priti Dangayach, MD, ACP Member
November 2016

A collection of individual cases

This group of individual cases from various institutions includes atypical cystic fibrosis, abdominal aortic aneurysm, tracheal chondrosarcoma, and others.

Patrick E. Prath, MD, ACP Resident/Fellow Member; Eyad Reda, MD, ACP Resident/Fellow Member; Benjamin M. Mulloy, MD, ACP Member; Faizan Shaikh, MBBS, ACP Member; Damien R. Stevens, MD; Fawwad Zaidi, MD, ACP Member; Vinit Oommen, MD; Mohit Shukla, MD; Nureddin Almaddah, MD, ACP Resident/Fellow Member; Augustine Andoh-Duku, MD, ACP Member; Christian Ghattas, MD; Michael Agustin, MD; Samaan Rafeq, MD; Chris Mosher, MD, ACP Resident/Fellow Member; Ryan Boente, MD; W. Graham Carlos, MD; Camille Edwards, MD, ACP Resident/Fellow Member; Afua Kunadu, MD, ACP Resident/Fellow Member; Abdelhaleem Sideeg, MD, ACP Resident/Fellow Member; Amanda Sammut, MD; and Eldon A. Redwood, MD, FACP
September 2016

Cases from Saint Louis University Hospital

Anaphylaxis to mammalian meat, rapidly progressive glomerulonephritis, typhoid fever, and more.

Roula Altisheh, MD, ACP Resident/Fellow Member; Adam Merando, MD, ACP Member; Kristin Knobloch, DNP, APRN, CCNS; Arfaa Ali, MD, ACP Resident/Fellow Member; Phil Fung, MD, ACP Member; Hiral Choksi, MD, ACP Member; Muhammad Naseeruddin, MD, MBBS, FACP; and Chad Miller, MD, FACP
July 2016

Cases from New York University

Acute intermittent porphyria, thrombotic microangiopathy complicating chemotherapy, and more.

Adria R. Simon, BA; Amar Parikh, MD; Karin M. Warltier, MD; Joseph Kingsbery, MD, ACP Resident/Fellow Member; Karen Kan, MD; Nicole Adler, MD, FACP; Jennifer Johnson, MS, RN; Katherine Hochman, MD; Jennifer Mulliken, MD, ACP Resident/Fellow Member; and Aron Mednick, MD, ACP Member
May 2016

Cases from the University of Texas at Austin

Pericardial tamponade due to multiple myeloma, postpartum spontaneous coronary artery dissection, neurogenic T-wave inversions, and more.

Anam Shaikh, MD, ACP Resident/Fellow Member; Alejandro Moreno, MBBS, MPH, JD, FACP; Sandia Iskandar, MD, ACP Member; Sameeksha Bhama, MD, ACP Resident/Fellow Member; Caitlin Geisler, MD; and Saranjit Kaur, MD, ACP Resident/Fellow Member
March 2016

Cases from Saint Agnes Hospital

Drug-induced aseptic meningitis, hypothyroidism as a reversible cause of cardiomyopathy, unintentional salicylate overdose, and more.

Hayder Abbood, MD, ACP Resident/Fellow Member; Uqba Khan, MD, ACP Member; Naser Gharaibeh, MD, ACP Resident/Fellow Member; Shadi Barakat, MD, ACP Member; Lauren Kleess, MD, ACP Resident/Fellow Member; Mustafa Abdulmahdi, MD, ACP Resident/Fellow Member; Aimaz Afrough, ACP Resident/Fellow Member; Ammer Bekele, MD; Shahad Ali, MD; Ricardo Conti, MD, ACP Member; Robert Ross, MD; and Dean Meadows, MD
January 2016

Cases from The Ohio State University

Dietary supplement-induced autoimmune-like hepatitis, splenic sarcoidosis, hemophagocytic lymphohistiocytosis, and more.

Beth W. Liston MD, PhD, FACP; Jayne Barr, MD, FACP; Rashmi Ganith, MD, ACP Member; Allison Heacock, MD, ACP Member; Daniel Diaz, MD, ACP Member; Ann-Marie Tantoco, MD, ACP Member; Kimberly Tartaglia, MD, FACP; Charles Redman, MD, ACP Member; Deepak Rai, MD, ACP Member; Dustin Chase, MD; and Shannon Willis, MD
November 2015

Cases from Maine Medical Center

Meningoencephalitis, cerebral amyloid angiopathy, tophaceous gout, and more.

Katherine Garlo, MD, ACP Member; Christina DeMatteo, DO, ACP Resident/Fellow Member; Robert Smith, MD; Eric Dinnerstein, MD; and John Erickson, MD, FACP
September 2015

Cases from Hennepin County Medical Center

Cases involving ventricular septal defect, thyrotoxic periodic paralysis, hepatopulmonary syndrome, and others are discussed.

Zach Rosol, MD, ACP Resident/Fellow Member; Aman Fasahat, MD; Nick Briese, MD, ACP Member; Kathleen Mahan, MD, ACP Resident/Fellow Member; Annie Jacobsen, MD, ACP Resident/Fellow Member; and Faraz Kazmi, MBBS
July 2015

A collection of individual cases

Cases involving gout, Guillain-Barré syndrome, granulomatosis with polyangiitis, and others are discussed.

Radhika Ayyagari, MBBS, ACP Resident/Fellow Member; Alejandro Moreno, MBBS, MPH, JD, FACP; Blake Haas, PhD; Yenal Harper, MD, ACP Resident/Fellow Member; Hamid Feiz, MD, ACP Member; Kristoff Naberezny, MD, ACP Member; Elana Oberstein, MD; Michael Lemont, MD; Natalya Lyubynska, MD, ACP Member; Shalini Kulkarni, MD, ACP Resident/Fellow Member; Rulz Cantave, MD, ACP Resident/Fellow Member; Kairavee Dave, MD, ACP Resident/Fellow Member; Fulvia Banu, MD, ACP Resident/Fellow Member; Nureddin Almaddah, MD, ACP Resident/Fellow Member; Elizabeth George, MD; Meenakshi Kundi, MD, ACP Resident/Fellow Member; Arooj Hyat, MD; Robert C. Kornas, MD, ACP Resident/Fellow Member; and Suelyn Boucree, MD, ACP Member
May 2015

Cases from Massachusetts General Hospital

Henoch-Schönlein purpura in an adult, serotonin syndrome presenting as myoclonus and hyperreflexia, dengue fever, and more.

Amulya Nagarur, MD, ACP Member; Janae K. Heath, MD, ACP Member; Michael A. Roberts, MD; Stephanie V. Sherman, MD, ACP Member; Adam Lurie, MD, ACP Member; and Emily S. Hughes, MD, ACP Member
March 2015

Cases from Brown University: Rhode Island Hospital/The Miriam Hospital

Patient cases involving Benedikt's syndrome, Chikungunya fever, essential thrombocythemia, and more.

Kristy Webster, MD; Ashley Weber, MD; Steven Schaub, MD; Thomas Ollila, MD, ACP Resident/Fellow Member; Michael Prodromou, MD, ACP Member; Manasa Ayyala, MD, ACP Resident/Fellow Member; Elizabeth Ko, MD, ACP Resident/Fellow Member; Megha Garg, MD, MPH, ACP Resident/Fellow Member; Ross Hilliard, MD, ACP Resident/Fellow Member; and Caitlin Dugdale, MD, ACP Resident/Fellow Member
January 2015

Cases from Baystate Medical Center

Chlorpromazine-induced hepatitis, the Brugada pattern, persistent breast erythema, and more.

Jin A. Kim, MD; Jorge A. Velez Garza, MD, ACP Resident/Fellow Member; Anita Mulye, MD; Anna Stepczynski, MD, ACP Resident/Fellow Member; Tara Lagu, MD; Thomas Chin, MBBS; Jaime Hernandez, MD, MPH, FACP; Abid Shah, MD; Alexandra Marchetta, MD; Christine Bryson, DO; and Gina Luciano, MD, FACP
November 2014

Cases from the Seattle VA Hospital and the University of Washington

Cholangitis, tenofovir-induced Fanconi syndrome, and more.

Sandra Demars, MD, ACP Member; Luis Tulloch, MD; Janelle Shin, MD; Karen Foster-Schubert, MD; Adam Johnson, MD; Thomas W. DeCato, MD, ACP Member; Peter Hunt, MD, ACP Member; Anila Finnegan, MD; Christopher Sankey, MD, FACP, Physician editor; and Benjamin Galen, MD, ACP Member, Deputy physician editor
September 2014

The Brief Case: Cases from 3 hospitals in Puerto Rico

Pulmonary alveolar proteinosis, idiopathic hypereosinophilic syndrome, and more.

Cristina Martinez-Recio, MD; William Rodriguez-Cintron, MD, MACP; Sandra Galarza-Vargas, MD; Pedro A. Torrellas Ruiz, MD; Juan C. Malpica Santiago, MD; Ronald Vigo, MD, ACP Member; Hiram Maldonado, MD, ACP Resident/Fellow Member; Ricardo Fernandez Gonzalez, MD, FACP; Emmanuel Gonzalez Irizarry, MD; Jesse R. Aleman-Ortiz, MD, MPH; Christopher Sankey, MD, FACP, Physician editor; and Benjamin Galen, MD, ACP Member, Deputy physician editor
July 2014

The Brief Case: Cases from Mount Sinai Medical Center

Patients with atypical hemolytic uremic syndrome, hypoglycemia, prosthetic valve endocarditis, and more.

Hyung J. Cho, MD, ACP Member; Shirley L. Jiang, MD, MPH; Dennis Chang, MD; Tuyet-Trinh N. Truong, MD, ACP Member; Lisa Lin, MD, ACP Resident/Fellow Member; Maria Anaizza Aurora Reyna, MD; Joshua Allen-Dicker, MD, MPH, ACP Member; Shira F. Grock, MD; Tao Xu, MD; and Christopher Sankey, MD, FACP, Physician editor
May 2014

Cases from the University of California, San Francisco, and Hôpital St. Thérèse, Haiti

Real patient cases cover such topics as complicated heart failure in a resource-poor setting and palliative care in rural Haiti.

Varun Verma, MD; Robin Tittle, MD, ACP Resident/Fellow Member; Pierre Jacquelin Auguste, MD; Phuoc Le, MD; Jack Chase, MD; Brian Secemsky, MD, ACP Resident/Fellow Member; Marcia Glass, MD; Aisling O’Riordan, MB BCh, BAO; Theresa Poulos; Marisa Morgan, MD; and Christopher Sankey, MD, FACP, Physician Editor
March 2014

Cases from Tulane University School of Medicine

Real patient cases cover topics such as vitamin B12 deficiency, secondary Evans syndrome, and acute interstitial nephritis caused by zonisamide.

Devika Nair, MD; Ashley Ellison, MD, ACP Resident/Fellow Member; Farah Kaiksow, MD, MPP, ACP Resident/Fellow Member; Irene Hurst, MS; Allie Abrams-Downey, MD, ACP Resident/Fellow Member; Chad Miller, MD, FACP; Chayan Chakraborti, MD, FACP; and Christopher Sankey, MD, FACP, Physician editor
January 2014

Cases from San Francisco General Hospital

Other cases include sulfadiazine-induced crystal nephropathy and a low anion gap.

Renuka Naik, MD, PhD; Tim Poore, MD; Sima Pendharkar, MD, MPH, ACP Member; Jing-Yu Pan, MD, ACP Member; Lawrence Haber, MD; Margarita Sotelo, MD; Jack Chase, MD; and Christopher Sankey, MD, FACP, Physician editor
November 2013

A collection of individual cases

Other cases examine squamous-cell carcinoma of the gallbladder and vancomycin-induced thrombocytopenia.

Jennifer Gauntt, MD, ACP Resident/Fellow Member; Ezeocke Chukuwuemeka, MD; Grace Salame, MD; Saurabh Sharma, MD, ACP Resident/Fellow Member; Nynke C. den Hollander, MD, ACP Member; Juan C. Sarria, MD; Herbert Ip, MD, ACP Resident/Fellow Member; Josh Grossman, MD, FACP; David Hirota, MD, FACP; Stephen Marer, MD; and Christopher Sankey, MD, ACP Member, Physician Editor
August 2013

Cases from The Ohio State University Medical Center

Hypereosinophilia causing cardiac and pulmonary disease, pulmonary embolism presenting as syncope, and other cases are discussed.

Beth W. Liston, MD, PhD, FACP; Jayne Barr, MD, FACP; Allison Heacock, MD, ACP Member; Rashmi Ganith, MD; Chirag Patel, MD; Jennifer Allen, MD; Karen Catignani, MD; Rob Matthew, MD; Aaron Wenger, MD; Kimberly Tartaglia, MD, FACP; and Christopher Sankey, MD, ACP Member, Physician editor
May 2013

Cases from Yale-New Haven Hospital: Trainee Edition

Leukocytoclastic vasculitis associated with cocaine abuse, the Sister Mary Joseph nodule as presentation of advanced malignant peritoneal mesothelioma, and other cases are discussed.

Lauren Wiznia, Yale School of Medicine, MS-3, ACP Student Member (Case 1); Ke Zhang, Yale School of Medicine, MS-3 (Case 2); Gal Ben-Josef, Yale School of Medicine, MS-3 (Case 3); Martin Dominguez, Yale School of Medicine, MS-4, ACP Student Member (Case 4); Michael Cecchini, MD, Yale School of Medicine/Yale-New Haven Hospital Internal Medicine Residency, PGY-1, ACP Associate Member (Case 5); Joshua Feuerstein, MD, Yale School of Medicine/Yale-New Haven Hospital Internal Medicine Residency, PGY-1 (Case 5); Radhika Shah, MD, Yale School of Medicine/Yale-New Haven Hospital Internal Medicine Residency, PGY-2, ACP Associate Member (Case 6); and Christopher Sankey, MD, ACP Member, Physician editor
February 2013

Cases from Montefiore Medical Center

Amyloid as a cause of refractory heart failure, high-output heart failure from severe anemia, and other cases are discussed.

Haleh Moazen, MD; Amir Ansari, MD; Matthew Shaines, MD, FACP; Lauren Shapiro, MD; Alvin Htut, MD, ACP Associate Member; Manuela Calvo, MD; Yehuda Cohen, MD, ACP Associate Member; Yelena Averbukh, MD; Jeffrey Ceresnak, MD; William Southern, MD, MS, ACP Member; and Christopher Sankey, MD, ACP Member, Physician editor
November 2012

Cases from Yale-New Haven Hospital

This new quarterly column summarizes interesting patients in their doctors' words.

Christopher Sankey, MD, ACP Member, Physician Editor
September 2012

Real cases from Yale-New Haven Hospital

The Brief Case is a new, quarterly column comprising summaries of real-life inpatient cases.

Christopher Sankey, MD, ACP Member, Physician Editor