Case Presentation: 67 year-old female with coronary artery disease, hypertension, peripheral neuropathy, initially presented to a tertiary care center for initiation of treatment, and hematology/oncology evaluation; with newly confirmed adenocarcinoma of the duodenum and pancreatic head with metastasis. Stent placement was initially attempted prior to chemotherapy but was cancelled in the setting of severe and [...]

Case Presentation: A 51-year-old female with a 15-year history of alcohol use disorder (approximately one pint of vodka daily) presented with nausea, vomiting, abdominal pain, and jaundice. On arrival to the emergency department, she was febrile and hypoxic. Initial workup revealed evidence of cirrhosis with esophageal varices (without ascites) and bibasilar airspace opacities. She was [...]

Case Presentation: An 86 year old male with a history of hypertension treated with long-term lisinopril presented with abrupt onset of unilateral left-sided facial swelling accompanied by a change in voice. Physical examination demonstrated asymmetric edema involving the face, tongue, and neck. Cross-sectional imaging confirmed soft-tissue swelling consistent with angioedema.The patient received emergent management with [...]

Case Presentation: A 66-year-old woman with a history of metastatic colon cancer, CKD stage 4 (baseline creatinine 2.3–2.4 mg/dL), insulin-dependent type 2 diabetes, and hypothyroidism presented to the emergency department in September 2025 with hypoxia, bradycardia, and hypothermia. She had been receiving FOLFOX4 and bevacizumab since February 2024. On admission, she was found to have [...]

Case Presentation: We present the case of a 39-year-old woman with Crohn’s disease who recently began adalimumab (Humira) and subsequently developed four days of progressive blurry vision, weakness, and paresthesia in all extremities. Extensive infectious and neurologic workups were unrevealing. Positron emission tomography/computed tomography (PET/CT) performed to assess for systemic sarcoidosis was nondiagnostic, while magnetic [...]

Case Presentation: A 38-year-old woman with a medical history of post-excision BRAF-positive cutaneous melanoma in 2018 presented to the Emergency Department with a two-week history of acute onset right-sided chest pain and hemoptysis, which started one day prior to presentation. A CT of the chest revealed a right hilar/perihilar mass measuring 5.3 x 6.7 x [...]

Case Presentation: A 71-year-old female with a past medical history of atrial fibrillation treated with amiodarone and apixaban presented due to a three-week history of diffuse, erythematous, macular rash associated with petechiae and minimal desquamation, without mucosal involvement. She described the rash as pruritic and painful. Previously attempted outpatient therapies included topical and low dose [...]

Case Presentation: A 49-year-old female with a past medical history of metastatic melanoma to the brain treated with resection, radiation, and chemotherapy with nivolumab, ipilumab, and dabranefib presented to the emergency department with vomiting, fatigue and lethargy of a few days’ duration. She also had dysuria, abdominal pain, and staring spells prior to presentation. She [...]

Case Presentation: While neurocysticercosis is a common cause of acquired epilepsy in developing countries, it is rarely considered for new onset seizures in the United States. The primary route of transmission is through ingestion of Taenia Solium eggs, typically found in undercooked pork containing larvae, which are then shed in feces. We present an unexpected [...]

Case Presentation: A 78-year-old man with a past medical history of coronary artery disease, cardiac amyloidosis, and paroxysmal atrial fibrillation presented for an elective transurethral resection of the prostate (TURP). Post-procedure, while in the recovery area, he was noted to have difficulty awakening from anesthesia, noted to have altered mental status and bradycardia. Laboratory studies [...]