Case Presentation: A 60-year-old female with a history of Castleman disease presented outpatient with painful progressive “stocking-and-glove” polyneuropathy. She was referred for EMG, which demonstrated significant sensorimotor neuropathy. Notable lab findings months prior included new subclinical hypothyroidism, normocytic anemia, and thrombocytosis. Given her presentation, she was admitted for expedited evaluation. Upon arrival, neurology and hematology [...]

Case Presentation: A 75 yo non-ambulatory woman with history of OSA, CVA, Atrial Fibrillation presented for urologic surgery, however was found to be dyspneic and hypoxic to spO2 84% on room air. These symptoms appeared to resolve when lying down, yet instantly returned when upright and often required non-rebreather (NRB) mask to stabilize. On presentation, [...]

Case Presentation: A 49 year old female with past medical history of atrial fibrillation, cerebrovascular accident, and hypertension presented with abdominal pain and rectal bleeding. Patient reported 3 days of worsening, non-radiating L-sided abdominal pain. Review of systems was positive for one episode of fever to 38.3℃, nausea, anorexia, and blood-streaked diarrhea. The patient had [...]

Case Presentation: A 53-year-old male, post-allogeneic hematopoietic stem cell transplant (HSCT) for relapsed acute myeloid leukemia (AML) presented to an outside hospital with high fevers, frontal lobe headaches, and blood-tinged sinus drainage, two weeks after completing chemotherapy. Days later, the patient was transferred to our hospital for advanced care, reporting continued fevers (up to 38.6oC), [...]

Case Presentation: We present a case of a 63-year-old male with a past medical history of hypertension and alcohol use disorder (multiple beers per day) who presented with a two-week history of black stools. On arrival, he was hypothermic, tachycardic, and hypotensive, likely due to hemorrhagic shock. Physical examination revealed melena and anasarca. Labs were [...]

Case Presentation: Tuberculosis (TB) remains a global health problem and extrapulmonary tuberculosis (EPTB) further adds to the developing countries’ fight against tuberculosis, with pericardial effusion being a potentially fatal complication. Here we report, a 19 year old male from South Asia with a past medical history of bilateral bronchiectasis (as shown in figure 1) and [...]

Case Presentation: A 19-year-old male in the United States Marine Corps (USMC) presented with severe fatigue and an inability to complete a 15-mile march. His initial hemoglobin (HgB) level was 2.5 g/dL, and his mean corpuscular volume (MCV) was elevated at 131.6 fL. After receiving 4 units of packed red blood cells, his HgB improved [...]

Case Presentation: A 57-year-old Hispanic male presented with an episode of syncope while at his workplace. He is a Pest Control Technician and had a 7-year history of exposure to organophosphates. He had a history of frequent falls over past six months and had no exposure to other toxic substances, alcohol or drugs. Physical exam [...]

Case Presentation: A 63-year-old man with polycystic kidney disease and bilateral renal masses was seen in our dedicated Pre-Operative clinic before a bilateral nephrectomy for renal cell carcinoma. In preparation for this surgery his nephrologist had placed a referral for community hemodialysis. However, regional wait times for community dialysis chairs averaged 2-3 months necessitating prolonged [...]

Case Presentation: A 51-year-old male with previous left-sided cerebellar ischemic stroke and NASH cirrhosis complicated by hepatic encephalopathy presented with 3 weeks of slowed speech, bradykinesia, abnormal facial movements (grimacing, lip smacking, tongue protrusion, and forced eye closure), and confusion. He denied alcohol or other drug use. On presentation, vitals were normal. He was oriented [...]