Case Presentation: A 22-year-old woman with macular lymphocytic arteritis presented to the hospital with a week of abdominal pain, vomiting, fatigue, and fevers. She had been initiated on dapsone one month prior for her arteritis, but stopped taking dapsone after her symptoms began. Prior to therapy, her Glucose-6-phosphate dehydrogenase (G6PD) activity was normal. On presentation, [...]

Case Presentation: A 76-year-old woman, presented with seven months of progressive exertional dyspnea, 20-pound weight gain, and worsening left lower extremity edema . Past medical history is notable for acute myeloid leukemia status post allogeneic stem cell transplant (2015), complicated by chronic graft-versus-host disease (GVHD) involving the eyes, mouth, and liver, autoimmune hepatitis, chronic kidney [...]

Case Presentation: A 62-year-old male presented to the emergency department with 4-5 days of dizziness, chest pain, and a cough, found to be hypotensive at 75/59. His past medical history was pertinent for hypertension, multiple strokes, tobacco use disorder, and a motorcycle accident in 2024 with extensive injuries, including a traumatic brain injury.On admission, the [...]

Case Presentation: A 20-year-old female with no significant past medical history presented to the ED with syncope and fall. She had 5 episodes of syncope without prodrome over the last three months with two occurring in the last two weeks. The patient presented after another syncopal episode resulting in a fall and injury to the [...]

Case Presentation: A 74-year-old woman presented to the Emergency Department with sudden-onset chest pain and shortness of breath while having a bowel movement. Her history was notable for myeloperoxidase–antineutrophil cytoplasmic antibody–associated interstitial lung disease (ILD), for which she was immunosuppressed on rituximab and hydroxychloroquine, as well as heart failure with mildly reduced ejection fraction (40%) [...]

Case Presentation: A 31-year-old woman with systemic lupus erythematosus (SLE) complicated by class IV nephritis and cutaneous involvement presented with rapidly progressive weakness and urinary retention. She had recently discontinued mycophenolate mofetil for pregnancy planning. Within one week of receiving shingles and pneumococcal vaccines in preparation for azathioprine initiation, she developed ascending numbness and weakness [...]

Case Presentation: A man in his thirties with Hb SS sickle cell disease on monthly exchange transfusions presented with one day of pleuritic chest pain and dyspnea. He reported a 15-lb weight loss, night sweats, and poor appetite. He lived in a poorly maintained motel with a slimy showerhead. Vitals showed fever (38.2°C), tachycardia, and [...]

Case Presentation: A 26-year-old female presented to the emergency department (ED) with weight loss, abdominal pain, nausea, vomiting, and severe constipation. The patient denied any typical symptoms of tuberculosis, such as night sweats, fevers, chills, cough, or difficulty breathing. Her temperature was 37.1°C, HR 95, respiratory rate 16, BP 120/70, SpO2 99% on room air. [...]

Case Presentation: A 72-year-old female with past medical history of GERD, mild obstructive sleep apnea, insomnia, and restless leg syndrome was directly admitted from outpatient Pulmonology Clinic to the inpatient hospital service due to hypoxia. Upon hospital admission, the patient’s hypoxemia was more prominent when sitting up (84%) as opposed to the recumbent position (97%). [...]

Case Presentation: A 69-year-old male presented to the emergency department with chest pain. His comorbidities included angioimmunoblastic T-cell lymphoma (AITL) status post conditioning chemotherapy and subsequent autologous stem cell transplant five days prior to presentation, and coronary artery disease (CAD) status post drug eluting stent placement to the left anterior descending artery.He was hypotensive and [...]