Gastrointestinal: Radiation proctitis: Or is it something else?

Is it child abuse--or something else?

Is It Hyper IgE Syndrome Or Something Else?

Elevated IgE levels can be associated with a variety of causes. The diagnosis is most often made on a clinical basis taking into consideration a complete history and physical. In this case report we describe a patient with elevated IgE levels and our discovery upon further investigation after noticing some unique findings on his physical examination. The differential diagnosis of extremely elev...

Miss ex-girlfriend, or is it something else?

I have broken up for about a year and I have never had female problems. I am active (sexually) and never really had problems. But recently, I really started to miss my ex-girlfriend and I have been feeling kind of down. I can usually perform very well in bed, at least that's what my girlfriend says, and the thing is... I can usually have intercourse for two to three hours before coming but rece...

Henoch-Schönlein purpura with hemoptysis: is it pneumonia or something else?

Case: An 18-year-old male presented to the emergency department with a 5-day history of a palpable purpuric rash, arthralgias, dark-colored urine, and severe abdominal pain. The patient was admitted to the hospital medicine service for further management. A urinalysis showed mild hematuria and trace proteinuria. An abdominal ultrasound was normal. He was diagnosed with Henoch-Schönlein purpura ...

Left ventricular outflow tract obstruction: is it the valve or something else?

A 67-YEAR-OLD FEMALE presented to the authors’ institution for an elective aortic valve replacement (AVR) in the setting of known aortic stenosis and progressive congestive heart failure symptoms. The patient had been followed as an outpatient with serial transthoracic echocardiograms (TTE) but suffered an acute episode of hemodynamic decompensation with respiratory failure requiring intubation...