Case Presentation: A 34-year-old woman with a reported history of sarcoid pericarditis presented from an otolaryngology (ENT) clinic for a progressively enlarging, painful left supraclavicular lymph node. She had three prior ER visits, including a brief admission one month ago for a core biopsy, and was discharged with antibiotics. The lesion worsened with purulent drainage [...]

Case Presentation: 49 year-old male with no past medical history presented with chief complaint of abdominal discomfort and rash. Symptoms began after discharge from an outside hospital where he was diagnosed with hepatitis and pancreatitis as well as needing a cholecystectomy. The abdominal discomfort was generalized and did not change with meals. He denied any [...]

Case Presentation: We present the case of a 60-year-old immunosuppressed female with a history of simultaneous pancreas-kidney transplant who was initially diagnosed with CD30-positive pcALCL after a biopsy of a chronic non-healing wound on the right lower leg. Initially, she was treated with localized radiation therapy, achieving partial cutaneous response. However, after two months she [...]

Case Presentation: A 68-year-old woman was initially evaluated for severe macrocytic anemia in June 2025, with a hemoglobin level of 4.8 g/dL. She was diagnosed with vitamin B12 deficiency (154 pg/mL) and started on intramuscular B12 injections. Her hematological profile normalized within 2-4 weeks. 6 weeks after starting B12 treatment, she developed progressive loss of [...]

Case Presentation: A 28-year-old male with sickle cell disease (SCD) complicated by prior ischemic stroke, moyamoya, and chronic kidney disease (CKD) presented with diffuse pain. Labs showed elevated lactate dehydrogenase and bilirubin, high reticulocyte count, and anemia consistent with sickling. He was admitted for vaso-occlusive pain crisis. On hospital day 2, he developed fever, dyspnea, [...]

Case Presentation: An 84-year-old female with history of hypertension and hyperlipidemia presented to the emergency room with one month of vague, various symptoms, including right sided abdominal pain, decreased oral intake, loss of appetite, nausea, vomiting, generalized weakness, and fatigue. At baseline, she was healthy and enjoyed swimming and gardening. In August 2025, she started [...]

Case Presentation: A 28-year-old woman with alcohol use disorder presented with acute decline in mental status and gait instability. One week earlier she had been alert, oriented, and ambulatory with a walker; on arrival she was oriented only to self, withdrawn, and markedly unsteady. She had been hospitalized the prior month for confusion, slowed speech, [...]

Case Presentation: A 41-year-old man with a history of cirrhosis secondary to primary sclerosing cholangitis and recurrent right hepatic hydrothorax (HH) presented to the emergency department (ED) with worsening dyspnea. The patient routinely underwent thoracenteses every 3-4 days as an outpatient and had missed his most recent thoracentesis. He had no prior history of spontaneous [...]

Case Presentation: A 79-year-old male with past medical history of benign prostatic hypertrophy s/p transurethral resection of the prostate (TURP) presented to the emergency department with several months of progressive dyspnea and dry cough. He was a lifelong non-smoker without chronic lung disease. Denied fevers or chest pain. On exam, he was afebrile, HR 128, [...]

Case Presentation: A 76-year-old male with diabetes presented to the ED with diarrhea and worsening rash on legs. Admission labs with platelets 134,000/mL, and creatinine elevated at 2.5 mg/dL. CT abdomen/pelvis with findings consistent with enteritis. Stool culture positive for E. Coli O157:H7. Renal function and thrombocytopenia worsened despite supportive care. Rash spread to the [...]