Case Presentation: A 46-year-old man with diabetes mellitus presented with gingival bleeding and gross hematuria for one week. He had no prior bleeding episodes or infectious symptoms. He was not using anticoagulants, drugs, or alcohol. His family history was unremarkable except for his mother’s death during childbirth. Initial exam revealed gingival bleeding, upper extremity ecchymosis [...]

Case Presentation: 75-year-old female with a past medical history of triple negative breast cancer, Stage IIB, undergoing adjuvant radiation therapy, on cycle 3 of pembrolizumab, presented with fatigue and myalgia. On Day 1, she was found to have hyponatremia with a sodium level of 125 mmol/L, urine osmolality of 227 mOsm/kg, and urine sodium of [...]

Case Presentation: A 53-year-old male with no past medical history of seizures, and an otherwise limited medical history aside from a remote stroke, was admitted after witnessed seizure activity. He was loaded with Keppra. However, due to ongoing agitation and airway concerns, he was intubated and sedated with propofol. A CT of his head showed [...]

Case Presentation: An 86-year-old female with advanced dementia presented with a four-day history of worsening encephalopathy and jaundice with associated severely poor oral intake. The patient had progressive weakness, increased work of breathing, and vague abdominal pain. The initial exam demonstrated lower abdominal tenderness to palpation with guarding. She was admitted for septic shock requiring [...]

Case Presentation: An 83-year-old male with a complex medical history, including prostate cancer in remission, presented to the clinic. Routine labs revealed a serum calcium of 14 mg/dL and serum creatinine of 2.71 mg/dL and he was admitted directly from the clinic. Management included aggressive intravenous hydration, calcitonin, and a single dose of zoledronic acid. [...]

Case Presentation: A 49-year-old male presented from his PCP office with a ten-day history of diarrhea, 20-pound weight loss, and severe hypotension. His history included Type II Diabetes Mellitus controlled with tirzepatide 2.5mg weekly injection, hypertension on 40 mg lisinopril, obesity class III, obstructive sleep apnea, and gout on daily allopurinol. He was originally prescribed [...]

Case Presentation: This case underscores the diagnostic challenge of pulmonary Kaposi’s Sarcoma (KS) in HIV/AIDS patients, emphasizing oral mucosal lesions as significant markers, especially alongside biopsy-proven results when bronchoscopy findings are negative.A 36-year-old HIV/AIDS male ([CD4 3 cells/mm³, viral load 1.4 million copies/mL]), with a history of cryptococcal meningitis, presented with a 3-week history of [...]

Case Presentation: A 42- year- old woman with a past medical history of major depressive disorder presented to the clinic with elevated transaminases after starting duloxetine one month prior. She denied abdominal pain, sick contacts, recent travel, alcohol use, and use of herbal supplements. Her labs were notable for an ALT of 649 U/L and [...]

Case Presentation: We present a case of symptomatic meropenem induced cholestasis in a 57 year old male with insulin dependent diabetes complicated by polymicrobial foot ulcers that required multiple toe amputations. He presented with chief complaints of fatigue, decreased appetite, and weight loss. He was septic on arrival and was found to have wet gangrene [...]

Case Presentation: A 74-year-old woman with type II diabetes mellitus, chronic hypertension, and neuropathy, presented to the hospital following a 9-day course of chest and back pain. She was found to have a late-presenting anterolateral myocardial infarction and was transferred to a cardiac ICU after developing cardiogenic shock secondary to a ventricular septal rupture. An [...]