Case Presentation: A 29-year-old female with a past medical history of microcytic anemia and recently-diagnosed AOSD presented with 2 weeks of progressive dyspnea. On her preceding hospital admission, her AOSD was diagnosed and clinical suspicion for MAS was initially mounted. At that time, she demonstrated polyarthralgia, pruritic rash, high-grade fevers, hepatosplenomegaly, diffuse lymphadenopathy, neutrophilic leukocytosis, […]

Case Presentation: A 55-year-old patient with history of Crohn s disease complicated by small bowel obstruction s/p resection and ileocolonic anastomosis, and transition to Upadacitinib from infliximab, a month prior to the admission, presented with a three-day duration of worsening abdominal pain, non-bloody diarrhea, and intermittent fevers. Vital signs notable for temperature of 102.2F and […]

Case Presentation: Fifty-five year-old-male presented with worsening tremors associated with fever, and generalized myalgias. On examination was found to have a low-grade fever, supraventricular tachycardia with elevated troponins, and a tender left inguinal lymph node. On further examination with transthoracic echocardiogram he was found to have new moderate aortic insufficiency, with a thickened sclerotic aortic […]

Case Presentation: A 49-year-old male with history of cirrhosis and hepatocellular carcinoma secondary to alcohol use and alpha-1 antitrypsin deficiency, who underwent liver transplant 1 month prior that was complicated by a bile leak at the biliary anastomosis requiring stenting, presented to the hospital for sudden onset of fever, chills and headaches. He was on […]

Case Presentation: A 78-year-old female with no known cardiac history presented to an emergency room for evaluation of falls with chronic low back pain and was found to be fluid overloaded on exam. She was treated for suspected heart failure exacerbation and pneumonia. Her exam was also notable for a large mass over the left […]

Case Presentation: A 25-year-old Black transgender woman receiving cross-sex hormone therapy (CSHT) with a PMH of multiple hospitalizations for HbSS sickle cell disease (SCD) complicated by acute chest syndrome, chronic left upper extremity DVT, and painful vaso-occlusive crises (VOC) was admitted for acute back and leg pain. She described the pain as constant, sharp, 10/10 […]

Case Presentation: Our 28-year-old female patient with a history of acute myeloid leukemia (AML) and allogeneic peripheral blood stem cell transplant presented to the Emergency Department (ED) for the evaluation of intermittent confusion and word-finding difficulty for one week. The patient’s vitals on admission were within normal limits. A physical examination was significant for diffuse […]

Case Presentation: A 73-year-old woman with past medical history of hypertension was discovered unresponsive at home, prompting initiation of CPR during transportation to the Emergency Department, resulting in the restoration of spontaneous circulation (ROSC). A chest x-ray indicated the presence of left-sided tension pneumothorax, necessitating the placement of a chest tube. Initial electrocardiogram (EKG) findings […]

Case Presentation: A 59-year-old female with recently diagnosed perihilar lung mass and liver lesions presented for evaluation of painless jaundice and transaminitis. Initial laboratory studies revealed a sodium of 129 mOsm/kg, elevated bilirubin, alkaline phosphatase, lipase, and liver enzymes. Initial hyponatremia workup showed a serum osmolality of 279 mOsm/kg, urine osmolality of 118 mOsm/kg, and […]

Case Presentation: A 68-year-old woman presented to the hospital with dyspnea, lightheadedness, hypoxia and no other systemic symptoms. She had a history of stage IIB small cell neuroendocrine carcinoma of the right lung status post chemoradiotherapy. This was complicated by radiation pneumonitis requiring long-term prednisone. Three days before presentation, she started dapsone 100mg daily for […]