Case Presentation: A 60-year-old Caucasian female with a history of morbid obesity, type 2 diabetes, uncontrolled hypertension, and obstructive sleep apnea presented to the emergency department with chief complaint of a headache. Her blood pressure was elevated, and she was discharged on lisinopril 20 mg daily.Two days later, she returned with severe, diffuse abdominal pain, [...]

Case Presentation: A 57-year-old female with diabetes mellitus and hypertension presented for a post-operative visit 3 weeks after spinal surgery with chief complaint of new-onset left leg weakness, leg buckling when upright, and increased dependence on her walker, despite initially recovering well. Physical exam exhibited 4-5/5 strength in all tested groups except for 1-2/5 strength [...]

Case Presentation: Mycosis fungoides (MF) is a rare cutaneous T-cell lymphoma that progresses from patch-stage dermatitis to tumor-stage lesions. While primarily a dermatologic malignancy, MF can involve systemic organs or transform into more aggressive malignancies. Composite lymphomas (CL), characterized by the coexistence of two distinct lymphomas in one patient, are rare and diagnostically challenging. We [...]

Case Presentation: A 36-year-old male with a past medical history of chronic phase chronic myelogenous leukemia with multiple relapses, never achieving remission, and recently diagnosed with the T315I resistant mutation treated with single agent ponatinib presented to the ED with complaints of pleuritic chest pain and shortness of breath. Exam was notable for mid neck [...]

Case Presentation: A 71-year-old man presented with 1 week of progressive fatigue and weakness. Upon arrival, he stated that he could not get out of bed, even to use the bathroom. Notably, he had undergone an infusion of carboplatin, pemetrexed, and pembrolizumab for treatment of lung adenocarcinoma 9 days before presenting. He attributed his symptoms [...]

Case Presentation: A 64-year-old man presented with persistent anemia, weight loss, fatigue, fever, cough, episcleritis, chondritis, and facial pain. Initial investigations highlighted macrocytic anemia and elevated alkaline phosphate. Despite initial suspicion of a streptococcal infection and subsequent treatment with antibiotics, his condition did not improve. Further evaluation revealed cavitary nodules on chest imaging, with biopsies [...]

Case Presentation: Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that can involve multiple organs, including the central nervous system (CNS). Neuropsychiatric systemic lupus erythematosus (NPSLE) refers to a spectrum of neurological and psychiatric symptoms such as cognitive dysfunction, psychosis, mood disorders, and seizures. Status epilepticus is a rare and severe presentation often associated [...]

Case Presentation: We present the case of a 41 yr old man who was admitted for acute renal failure and initially presented with myalgias, anuria, and shortness of breath. Upon admission, the patient was initially febrile to 103.1 F and tachycardic to HR 126/minute. A Quinton catheter was placed for dialysis initiation. Infectious Disease was [...]

Case Presentation: Neisseria meningitidis, a gram-negative diplococcus, is widely known for causing meningitis and septicemia. However, its potential to trigger rare cardiac manifestations, such as pericarditis, often goes unrecognized. These atypical presentations can mimic common cardiovascular emergencies like myocardial infarction or pulmonary embolism, creating significant diagnostic challenges.A 44-year-old male with a history of type 2 [...]

Case Presentation: A 35-year-old female with a history of depression, psychosis, hypertension, and type 2 diabetes presented to the emergency room for severe hypokalemia found on routine labs. She was hospitalized for an episode of psychosis a month prior with a suicide attempt and was being treated at an inpatient mental health clinic since then. [...]