Case Presentation: 70 year old man with hypertension, Type 2 diabetes mellitus, CVA, T3N0M0 metastatic squamous cell cancer of glossitis s/p total laryngectomy and XRT with recurrent metastasis, post-surgical hypothyroidism and hypoparathyroidism who presented with seizure. Patient developed right pharyngeal mass concerning for recurrence of malignancy and was started on once monthly infusion of Nivolumab [...]

Case Presentation: A 24 year old Hispanic male with history of ESRD due to presumed medullary cystic disease who underwent DDKT x2 first in 2/2011 complicated by acute vascular rejection with loss of transplant, then again in 11/2011 which was complicated by antibody mediated rejection in 2015 that was treated with plasmapheresis developed a subacute [...]

Case Presentation: A 33-year-old man presented with acute progressively worsening diplopia for two days duration. He also developed dysarthria, difficulty swallowing, generalized muscle weakness, and shortness of breath which prompted him to seek medical attention. He was bradycardic, but otherwise afebrile and normotensive. On exam, he was diaphoretic while taking shallow breaths. Neurological exam was [...]

Case Presentation: A 69yo female with hypertension and type 2 diabetes presented to the emergency room with several days of malaise and fatigue and 2 days of chest pain. In the emergency room, her blood pressure was 201/121 and she had clinical signs of hypervolemia, with pitting dependent edema and crackles on lung exam. Lab [...]

Case Presentation: 25-year-old pregnant female was transferred to a tertiary care center at 15 weeks gestation for further work-up of abnormal LFTs. Her pre-pregnancy medical history was limited, at 8 weeks gestation she suffered a large MCA stroke, and pregnancy had been complicated by hyperemesis gravidarum (HG). Hypercoagulability workup revealed positive antiphospholipid antibodies and was [...]

Case Presentation: A 29 year old female presents with one week of sudden onset double vision. She reports accompanying dark spots in her vision, photosensitivity, and some unsteadiness with walking. The patient’s friend noted that her eyes were “crossed” the morning of admission. Past medical history is significant for alcohol abuse and anxiety with a [...]

Case Presentation: A 62 year old female with a history of vitiligo, remote bilateral silicone breast implantation, and latent tuberculosis presented with 3 months of B-symptoms, weight loss, and polyarthalgias attributed to a new diagnosis of rheumatoid arthritis. Physical exam was significant for diffuse tender lymphadenopathy most notably at the supraclavicular nodes and a fixed [...]

Case Presentation: A 69-year-old man with a history of chronic obstructive pulmonary disease was admitted with fevers and altered mental status (AMS). He reported 6 months of fevers, with confusion and shortness of breath. He denied cough and sputum production, but endorsed a 20lb unintentional weight loss. He had no history of immunosuppression, imprisonment, or [...]

Case Presentation: A 25-year-old woman with history of childhood asthma presented with 1 week of fever, dry cough and chest discomfort. She also had non-bloody diarrhea, nausea and vomiting. On review, she admitted vaping THC and CBD products for the past 9 months. She was afebrile with HR 115 bpm, BP 130/61 mmHg, RR 18/min [...]

Case Presentation: An 82 yo F with history of HTN, HLD, anemia, and atrial fibrillation presented to the ED with right-sided weakness and aphasia. She was subsequently found to have an acute left MCA stroke, which was treated with thrombectomy. She was not on anti-coagulation for her atrial fibrillation due to history of GI bleed [...]