Case Presentation: A 46-year-old male with a history of HFpEF on Entresto presented for fatigue, lymphadenopathy, and severe back pain. He was diagnosed with Renal Cell Carcinoma (RCC) and was pending oncologic evaluation. On admission, his potassium and platelet levels were within normal limits. However, within the next two weeks, those levels would rise. Potassium [...]

Case Presentation: 47 year old male with left temporal meningioma s/p resection, and recent immigration from India presented with fevers and worsening encephalopathy. CTH was unremarkable however MRI showed leptomeningeal hemispheric, brain stem, and cord signal with perivascular enhancement concerning for CNS TB however included a broad differential. He was started on empiric antibiotics for [...]

Case Presentation: A 56-year-old male with severe diffuse atherosclerotic disease presented to primary care clinic following several hospitalizations requiring vascular intervention. Physical exam revealed multiple large (10 cm), scattered, painful plaques with central necrosis and erythematous borders on the bilateral upper thighs. Cutaneous biopsy showed ulceration with cholesterol emboli confirming CES. Upon diagnosis, a retrospective [...]

Case Presentation: A 22-year-old female presented with diffuse abdominal pain and a past medical history of endometriosis managed with medroxyprogesterone acetate injections. She also reported a decreased appetite and hematuria. Six months earlier she presented with similar symptoms and was diagnosed with an endometriosis flare. On this admission, the heart rate was 131 bpm, with [...]

Case Presentation: A 36-year-old male with no past medical history presented to the emergency room for medical evaluation for one week of diarrhea that became bloody four days prior to presentation. During the hospitalization, he had worsening thrombocytopenia and labs were consistent with Shiga Toxin 2 positive hemolytic uremic syndrome. He was managed with supportive [...]

Case Presentation: A 74-year-old male with a past medical history of Coronary Artery Disease, Hypertension, and Type 2 Diabetes Mellitus initially presented with a 5-day history of left-sided upper extremity weakness and paresthesia starting in his hand radiating to his shoulder. He denied any lower extremity weakness, incontinence, fevers, or chills. He later divulges a [...]

Case Presentation: A 75-year-old male with atrial fibrillation on apixaban and eradicated HCV presented to the Emergency Department one day after a syncopal episode with right upper quadrant abdominal pain. On initial presentation, he was hemodynamically unstable with hypotension and atrial fibrillation with rapid ventricular response. His vital signs normalized after 2 liters of intravenous [...]

Case Presentation: A 53-year-old Asian female with no significant past medical history and a lifelong non-smoker without any chronic secondhand smoke exposure presented with a long-standing chronic non-productive cough that persisted over many years. The patient was not taking any prescribed medication(s) or over the counter supplements. Review of symptoms was negative for fever, chills, [...]

Case Presentation: An 81-year-old patient with hypertension presented to the emergency department with one week of dry cough and fatigue. He reported pleuritic chest discomfort, but denied dyspnea, fevers, chills, palpitations, or lightheadedness. His vital signs were normal. Initial workup was notable for an unremarkable chest x-ray, positive COVID-19 PCR, B-type natriuretic peptide (BNP) 426 [...]

Case Presentation: A 62-year-old male patient with a history of heart transplant nine years ago on mycophenolate mofetil (MMF) presented for chronic diarrhea with increasing frequency, urgency, incontinence, sporadic melena, and fevers. He tested positive for Clostridium difficile (C. diff) toxin and improved on fidaxomicin. Soon after discharge, he required rehospitalization for worsening symptoms. A [...]