Case Presentation: 62-year-old male with a PMH notable for recurrent epistaxis, bleeding post-dental procedures & IDA since childhood on & off oral iron supplementation presented to the hospital with a traumatic head injury resulting in a SAH/SDH. Initial laboratory work found normocytic anemia & severe thrombocytopenia (TCP) – 25 X 10E+09/L . CT abdomen & [...]

Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm [...]

Case Presentation: A 67-year-old female with a history of decompensated NASH-cirrhosis with portal hypertensive enteropathy (MELD-Na: 24) and associated iron deficiency anemia (IDA) presents for an incidental hemoglobin of 5.8 g/dL. She had symptoms of fatigue but was otherwise asymptomatic with no melena or hematochezia. Vital signs were within normal limits. The physical exam was [...]

Case Presentation: A 33-year-old man with a history of human immunodeficiency virus (HIV, 2007, well-controlled on antiretrovirals) and recent rectal chlamydia (on routine screening) presented to the emergency department (ED) with a five-day history of profuse rectal bleeding, pain, and tenesmus; preceded by a prodrome of fever, myalgias, productive cough, and a painful papular skin [...]

Case Presentation: A 20-year-old female, nonsmoker, G1P0 at 25 weeks, presented to the ED with left leg swelling. Ultrasound confirmed a left femoral DVT. CBC and CMP were unremarkable. She started enoxaparin 80mg twice daily and followed with OB/GYN. Her hypercoagulable workup showed a prolonged aPTT and DRVVT, which corrected with mixing, indicating absence of [...]

Case Presentation: A 36-year-old male presented to the emergency room with complaints of fever, exertional dyspnea, chest pain, and fatigue for two days. He describes his chest pain as sharp, substernal, and aggravated by lying down or inspiration. He denied any previous viral infection, cough, skin rashes, or joint involvement. He states that he has [...]

Case Presentation: A 53-year-old female with history of Roux-en-y bypass, hypertension, and type 2 diabetes mellitus presented to the emergency department following a mechanical fall. She was found to have a right femoral neck fracture and was admitted for surgical repair. There were no apparent intraoperative complications. Upon arrival to the general care floor shortly [...]

Case Presentation: A 36-year-old male with a history of B-cell acute lymphoblastic leukemia (ALL) treated with Hyper-CVAD with intrathecal chemotherapy and allogenic hematopoietic stem cell transplant (HSCT) from a haploidentical donor (CMV D-/R+). His ALL relapsed 8 months after transplant and he subsequently underwent pre-phase chemotherapy for future CAR T-cell therapy, developing pancytopenia. He was [...]

Case Presentation: A 49-year-old woman of German ancestry without any prior medical history presented to the hospital with complaints of shortness of breath and right lower extremity for 2 weeks. Her examination was notable for tachycardia, notable loud systolic ejection murmur at cardiac apex. Labs revealed mild leukocytosis, elevated D-dimer, BNP, mild hepatocellular transaminitis and [...]

Case Presentation: A 35 y/o male with HIV infection presented with 3 weeks of worsening perianal pain. Patient reports engaging in receptive anal and oral sex approximately 3 weeks ago, with inconsistent condom use. He developed both perianal pain and skin lesions a few days after the encounter, noting vesicular and umbilicated lesions in his [...]