Case Presentation: A 24-year-old Caucasian female with a family history of multiple autoimmune disorders presented with 3 weeks of bruising, petechiae, fatigue, and outside labs that revealed significant anemia and thrombocytopenia. Admission workup showed Hgb 7.6, platelets (PLT) < 3,000, and elevated MCV. Further labs showed elevated LDH, indirect bilirubinemia, haptoglobin< 10, and positive DAT [...]

Case Presentation: This is a case of cardiac myxoma in a 78-year-old female with a history of atrial fibrillation on chronic anticoagulation. The patient presented to the Emergency Department with left-sided intermittent chest pain and a one-month history of exertional fatigue and dyspnea. Physical examination revealed a diastolic rumble in the left lower sternal border. [...]

Case Presentation: A 56-year-old female with invasive lobular carcinoma of the breast, diagnosed 8 years prior and currently on neratinib and capecitabine, presented to her oncologist endorsing abdominal pain, vomiting, nausea, and loss of appetite for several days. Despite anti-emetic therapy, symptoms persisted, and she lost weight over the next 6 weeks. Computed Tomography (CT) [...]

Case Presentation: Asenapine is widely acknowledged as a well-tolerated medication, exhibiting only infrequent severe adverse events1. The necessity of liver enzyme testing remains a topic without a unanimous consensus2. This case study discusses a patient who experienced significant liver damage upon initiating asenapine. As far as our understanding goes, this represents the initial documented instance [...]

Case Presentation: A 55-year-old male with no past medical history presented with 10 days of progressively worsening generalized weakness, malaise, and night sweats.The patient, employed as a landscaper, had been mowing grass and spraying rodenticides at a rural farm 3 weeks prior. Shortly after this incident, he awoke with a constellation of symptoms including fatigue, [...]

Case Presentation: Systemic lupus erythematosus (SLE), commonly known as lupus, is a multifaceted autoimmune disorder characterized by a myriad of clinical manifestations, including but not limited to fatigue, joint pain and swelling, and malar rash. Although a common cardiac manifestation of SLE is pericarditis, often accompanied by pericardial effusion, pulmonary arterial hypertension (PAH) is not [...]

Case Presentation: We present a case of a 55-year-old female who sustained a T12 vertebral fracture from a fall a year and a half ago. She developed worsening pain and subsequently was referred for kyphoplasty. The patient had intense interscapular pain after the procedure combined with dyspnea on exertion. She was evaluated at an outside [...]

Case Presentation: A previously healthy 32-year-old man presented to the ER for two weeks of yellowing skin and eyes. He denied recent illness, weight loss, GI symptoms, hemoptysis, and night sweats. He had arrived in the US four months earlier after a month-long trek through seven countries. He denied any animal bites, but did drink [...]

Case Presentation: 59-year-old female with no significant past medical history presented to the hospital with worsening dizziness, vertigo, and diplopia in the right eye. Vital signs were unrevealing. On physical exam, she appeared nontoxic but uncomfortable with eyes closed resting on the bed. The neurologic exam revealed severe nystagmus in the right eye, intact CN [...]

Case Presentation: A 66-year old woman, with a history of renal transplant for diabetes related end-stage renal disease, was admitted to the hospital by her transplant team, for significantly abnormal serum creatinine level of 8.6 mg/dL from her baseline creatinine value of 1.6 mg/dL. Of note, she underwent cystoscopy by urology 2 weeks prior for [...]