Case Presentation: A 24-year-old female without significant medical history was admitted with acute substernal, non-pleuritic chest pain accompanied by dyspnea, palpitations, and restlessness. She denied active illicit drug use, but admitted to taking amphetamine/dextroamphetamine (Adderall), provided by a friend, 6 hours prior to admission. On examination, she was tachycardic, hypertensive, and tachypneic, with an oxygen [...]

Case Presentation: A 19 year old female with systemic lupus erythematosus presented to a community hospital with hemoptysis. Bronchoscopy showed diffuse alveolar hemorrhage. She developed tachycardia and hypoxemic respiratory failure requiring ICU transfer, intubation and vasopressors. Labs revealed consumptive coagulopathy and thrombotic thrombocytopenic purpura (TTP), as ADAMTS-13 activity level revealed severe deficiency at less than [...]

Case Presentation: A 68 year old male with a history of end stage renal disease (ESRD) on hemodialysis, s/p cardiac transplant for refractory ischemic cardiomyopathy, and Cerebrovascular accident presented to the emergency department (ED) with fevers, lethargy and penile discharge. In the ED, he ws noted to be febrile with a temperature of 102.7 ºF.  He had no frank hematuria, flank pain, chest pain, [...]

Case Presentation: A 57 year-old woman presented with five days of worsening confusion  and drowsiness associated with headache, generalized abdominal pain,  nausea, and new rash. She had a history of interstitial lung disease treated with prednisone and ritixumab. She was afebrile, oriented to person only, had coarse crackles at bilateral lung bases, diffuse abdominal tenderness, [...]

Case Presentation: 59 year old female presented to the emergency department complaining of two weeks of atraumatic, painful bruising to her lower extremities, right shoulder, and lower back. She was unable to bear weight on her right lower extremity due to pain.  She denied any history of anticoagulant or antiplatelet usage, and denied any family [...]

Case Presentation: A 56-year-old woman with a history of asthma, eczema, food and seasonal allergies presented with anaphylaxis. Earlier that day she experienced vomiting and shortness of breath after inadvertently ingesting peanuts. She subsequently lost consciousness and, when EMS arrived, she had a pulse yet was initially apneic. After resuscitation with intramuscular epinephrine, albuterol, and [...]

Case Presentation: A 77 year old female who had a diagnosed primary gastric adenocarcinoma at another hospital presented to the emergency department with shortness of breath. A chest x-ray was done which showed a large left-sided pleural effusion (Figure 1). An ultrasoundguided thoracentesis was done and the pleura was positive for metastatic adenocarcinoma, however the [...]

Case Presentation: A 75 year-old man with history of type II diabetes and hypertension presented with progressive dyspnea. Two weeks prior, he had presented with similar symptoms that were attributed to COPD due to a remote history of smoking. He was hypoxic upon presentation requiring bi-level positive pressure ventilation with a FiO2 of 40%. He [...]

A RARE CASE OF REGRESSION OF TESTICULAR GERM CELL TUMOR Sirish Dharmapuri MD, Jeffrey Gryn MD, Manasa Kandula MD, Qi Shi MD, Margie Host MD Case Presentation: This is a 53 year-old man who presented to his family physician with dull aching left testicular pain for a week, associated with back pain which was progressively [...]

A RARE CASE OF ANGIOIMMUNOBLASTIC T-CELL LYMPHOMA Sirish Dharmapuri MD, Marguerite Salam MD, Qi Shi MD Case Presentation: This is a 66 year old male who was hospitalized secondary to recurrent lower extremity cellulitis. He was also previously admitted about 2 months ago for bilateral lower extremity DVT and received an IVC filter as the [...]