Case Presentation: A 37-year-old female with PMH of high-grade glioma, s/p L frontal craniotomy for tumor resection, with recent diagnosis of leptomeningeal disease, presented to care with several days of altered mental status characterized by cognitive deficits, aphasia, and bilateral leg weakness. One month prior to this presentation, she was evaluated for glioma progression and [...]

Case Presentation: A 55 year-old-male with ischemic cardiomyopathy and hypertension presented with 1 week of abdominal bloating, jaundice, and lower extremity edema. He denied any alcohol, drug, or supplement use. He reported only taking Tylenol 1000mg twice per week. On initial presentation, his vital signs were stable except for mild tachycardia. On exam, he was [...]

Case Presentation: A 32-year-old man with no known medical history presented with altered mental status and fever. The patient was unable to give any history but his partner noted a gradual worsening of symptoms over a week with decreased interactions with his environment and he eventually stopped talking the day prior to presentation. She denied [...]

Case Presentation: This is a 65-year-old female with metastatic left invasive breast carcinoma status post left mastectomy and currently receiving chemotherapy, who presented with two months of progressive left lower extremity pain and a non-healing wound. The lesion began as a “pimple” several days after her first cycle of cyclophosphamide, docetaxel, and pegfilgrastim. By her [...]

Case Presentation: This patient is a 53-year-old woman with primary biliary cholangitis (PBC) complicated by decompensated cirrhosis, recent DVT, and multiple strokes secondary to paradoxical emboli who presented to an outside hospital with right-sided weakness and aphasia. This was the patient’s third presentation for stroke in the last month (most recently discharged 3 days prior [...]

Case Presentation: Our patient is a 75-year-old gentlemen with past medical history notable for prostate adenocarcinoma with bony metastases diagnosed two months prior and managed with docetaxel-leuprolide-abiraterone triple therapy. After his most recent docetaxel infusion, he presented with worsening nausea, without emesis, and decreased oral intake. Since the diagnosis of prostate cancer, he experienced a [...]

Case Presentation: A 23-year-old female with history of depression and suicidal ideation presented to the emergency department after being found unconscious at home, surrounded by bottles of bupropion and hydroxyzine. On arrival, she was obtunded, diffusely cyanotic, and had poorly palpable pulses. Vitals were remarkable for hypotension, tachycardia, tachypnea, and hypoxemia to 88% on pulse [...]

Case Presentation: A 77 y/o man with Parkinson’s and BPH presented for acute onset of a pruritic morbilliform rash on the torso and extremities and odynophagia. He took sulfamethoxazole-trimethoprim two days prior to presentation. He received methylprednisolone 125mg IV x1 and was transferred for urgent dermatology consultation.Upon transfer, dermatology recommended no additional systemic steroids as [...]

Case Presentation: A 34-year-old male presented with several months of intermittent melena and progressive weakness. He denied fevers, abdominal pain, nausea, vomiting, or dyspnea. Physical exam showed tachycardia and pallor. Laboratory evaluation revealed hemoglobin 1.5, MCV 80, platelets 560, INR 1.5, and lipase 94. Further workup showed a component of iron deficiency anemia and appropriately [...]

Case Presentation: A 62-year-old man traveled to Nicaragua. Sixty days into his vacation, he started to have visual disturbances. He had an ophthalmologic evaluation in Nicaragua and was diagnosed with uveitis. Upon returning to the United States, he pursued ophthalmology evaluation again. He denied history of autoimmune diseases and incarceration. His U.S. ophthalmologist diagnosed him [...]