Case Presentation: A 48-year-old morbidly obese woman with history of sarcoidosis with annual cutaneous flares was admitted for extensive non-healing, necrotic ulcers on her lower extremities. Three months prior to presentation, the patient developed open ulcers on her legs which she attributed to a typical sarcoid flare. She later developed diffuse body malaise and dark [...]

Case Presentation: A 57-year-old woman with history of bipolar I disorder treated with risperidone and lithium for over 10 years was sent to the ED for stroke evaluation by her primary care physician due to significant confusion and slurred speech. The patient’s family reported a 3-day history of tremulousness, a week of ataxia with a [...]

Case Presentation: A 36-year-old Haitian female presented with a four-month history of “pus like drainage from a left abdominal wall opening”. It began with left flank pain followed by a “bump” in that area which progressed to a chronic draining fistula. There was associated lumbar back pain,aggravated by walking and relieved by lying on her [...]

Case Presentation: A 25 year old female with a recent history of a left upper extremity deep venous thrombosis (DVT) s/p thrombectomy presented to the emergency room with nausea and vomiting and was found to have acute kidney injury. Two weeks prior to presentation, the patient was admitted to another hospital with left upper extremity [...]

Case Presentation: A 44-year-old woman with a past medical history of systemic lupus erythematosus (SLE) not on maintenance therapy presented with joint pain, nausea, abdominal pain, and fever for one week. At the time of admission, the patient was found to have elevated ESR 72, CRP 30, and ferritin 4075. Admission labs were also notable [...]

Case Presentation: Rivaroxaban is a novel oral anticoagulant which is widely used for treatment for venous thromboembolism and stroke prophylaxis in non-valvular atrial fibrillation. Spontaneous hemopericardium with cardiac tamponade due to rivaroxaban is a new entity and only a handful of cases have been reported in literature so far. Discussion: A 56-year- old female with [...]

Case Presentation: A 38-year-old Caucasian man without significant past medical history presented to the hospital with unintentional 20-pound weight loss, diarrhea, intermittent fevers up to 103 degrees, and fatigue over the preceding two months. On review of systems, he also had chronic joint pains in his feet and shoulders for the past year. He had [...]

Case Presentation: A 24 year old male with history of malignant melanoma diagnosed five years prior presented to the emergency department with two weeks of abdominal pain. He had presented to an outside hospital one and a half weeks earlier with the same complaint and was found to have elevated pancreatic enzymes, with a lipase [...]

Case Presentation: A 56 year old man presented to the emergency department with sudden onset of severe chest pain that radiated to his back. He had an initial HR of 72 and BP of 208/114. CT angiogram of the chest and abdomen revealed a large type B aortic dissection (AD). The patient was treated with [...]

Case Presentation: A 70 year old female with metastatic melanoma presented to the emergency department with fatigue and lethargy for one month. She had recently completed 6 cycles of Nivolumab and Ipilimumab and was currently receiving Nivolumab monotherapy. Over the past month, she had worsening fatigue associated with nausea and decreased appetite. Lab work one [...]