Case Presentation: A 69-year-old woman with ALL on chemotherapy and prior venous thromboembolisms being treated with rivaroxaban was admitted for symptomatic COVID19. She was dyspneic with pulse oximetry saturations in the 90s, so she was started on oxygen via nasal cannula, dexamethasone, and remdesivir. Initial chest X-ray, troponins, D-dimer, and BNP were unremarkable. Chemotherapy was [...]

Case Presentation: A 60-year-old male with a history of diabetes, chronic kidney disease, and ventricular tachycardia treated with amiodarone for three total years prior to orthotopic heart transplant one year ago was admitted to the hospital for abdominal pain. He was diagnosed with cholecystitis and underwent uncomplicated laparoscopic cholecystectomy. The postoperative hospital course was complicated [...]

Case Presentation: A 70 year old male with past medical history of chronic kidney disease was admitted with three weeks of progressive right-sided upper and lower extremity weakness, tremors, and slurred speech. He first noticed right upper extremity weakness and tremors three weeks ago when he could not play his guitar and presented to the [...]

Case Presentation: 28-year-old male with history of migraines first presented to a local urgent care with frontal headache. He was discharged home after his headache improved with ketorolac. His headache recurred a day later with new onset of fever, photophobia, nausea and vomiting, so he went to emergency department. He denied weakness, numbness, rash, insect [...]

Case Presentation: A 56-year-old female with a prior history of acute myeloid leukemia, status-post allogenic stem cell transplant in 2016 (in remission), complicated by chronic graft versus host disease (on mycophenolate), and pulmonary coccidioidomycosis in 2000 presented due to hemoptysis. She experienced 7 days of blood-tinged sputum with upper respiratory symptoms preceding that. Five weeks [...]

Case Presentation: 69 year old female with a history of untreated hepatitis B presented with leg pain, fatigue, and a 13-pound unintended weight loss over 5 months. She had no family history of cancer and had unremarkable age-appropriate cancer screenings. On exam, she had normal vitals, bilateral paraspinal and hip tenderness and positive straight leg [...]

Case Presentation: We present a case of a 42-year-old woman admitted to the ICU for management of suspected septic shock. She presented with right lower quadrant and back pain for the past day, fever, nausea, and vomiting. Her blood pressure was 70/46 mm of Hg and examination was significant for right lower abdominal quadrant tenderness. [...]

Case Presentation: A man in his 70s with history of benign prostate hypertrophy, diverticulosis, and polymyalgia rheumatica with previously elevated RF and anti-CCP serologies who first developed sinus symptoms and recurrent pneumonias four years prior to his current presentation. At that time, he had CT chest imaging demonstrate bronchiectasis and spirometry reveal an obstructive ventilatory [...]

Case Presentation: A 26-year-old male, recently diagnosed with Acute Intermittent Porphyria (AIP), presented with 3 days of sudden onset severe periumbilical pain exacerbated by eating. He reported 20 episodes of non-bloody emesis accompanied by bilateral facial numbness and right-sided chest pain in the 3 days prior to admission, as well as subjective fever, chills, and [...]

Case Presentation: A 69-year-old male with a past medical history of hyperlipidemia on atorvastatin and type 2 diabetes presenting with progressive muscle pain and weakness. Who reports proximal muscle weakness, worsening over four years, and most prominent in the lower extremities. He started atorvastatin approximately one year prior to evaluation and has a family history [...]