Case Presentation: A 29 year-old male (AP) with history of ALL presented with neutropenic fevers after receiving intrathecal methotrexate one day prior. AP was in consolidation phase of treatment with most recent bone marrow biopsy showing hypocellular marrow without evidence of leukemia. On admission, he was febrile to 102.9 degrees Fahrenheit with pancytopenia and ANC [...]

Case Presentation: A 63 year-old woman with a history of liver transplant presented to a rural hospital for evaluation of rigors, nausea and vomiting. Her post-transplant course had been complicated by HCV recurrence treated successfully with interferon and ribavirin; cirrhosis, and refractory gastric variceal bleeding for which she received a transjugular intrahepatic portosystemic shunt (TIPS) [...]

Case Presentation: A 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 [...]

Case Presentation: A 77-year-old female with a history of hypertension and diabetes, presented to the ER with sudden syncope. She reported severe retrosternal chest pain, associated with nausea and vomiting. She stated she has been under extreme emotional stress due to sudden death of a family member. Examination was remarkable for hypotension (70/40 mmhg), cold [...]

Case Presentation: A 72-year-old man from Bangladesh, who immigrated to the U.S. 4 years ago, presented with ten days of constipation and progressively worsening abdominal pain. He reported no alcohol use, recent travel, known tuberculosis (TB) contact, IV drug use or incarceration history. The patient appeared frail and vital signs were within normal limits. His [...]

Case Presentation: A 49-year-old female with history of hypertension, obesity, depression and intermittent cocaine use presented to the emergency department with a syncopal episode while at the grocery store. On arrival she was hypotensive to 80/58 with a new 4-liter oxygen requirement. Electrocardiogram (ECG) showed ST elevations in leads aVR and V1 with ST depressions [...]

Case Presentation: A 29-year-old African American female, who has a history of preeclampsia and recent stroke, presented with confusion, unusual behavior pattern, headache, involuntary movements and forgetfulness for 3 days. She reported difficulty performing easy tasks such as putting a bottle together, changing her baby and progressive cognitive decline. She denied having weakness, numbness, seizures, [...]

Case Presentation: A 23 year-old woman presented with blurry vision and difficulty walking for two weeks. Her family also reported two weeks of progressive memory changes and a 52-pound weight loss over four months. One month prior to presentation, while pregnant at 18 weeks gestation, she was admitted with three months of vomiting and five [...]

Case Presentation: A 52-year-old male with medical history of diabetes mellitus, hypertension, and hyperlipidemia presented to ER for right upper extremity swelling for 3 days. He reported a feeling of heaviness in his right arm and associated pain with movement. He denied any trauma, history of blood clots, or cancer and endorsed a family history [...]

Case Presentation: An 82-year-old male with history of urinary retention, presumed to be due to benign prostatic hypertrophy, requiring a chronic indwelling Foley catheter presented with progressively worsening non-mechanical back pain of four-month duration. All vital signs were within normal limits. Physical exam was notable for bilateral crackles and suprapubic tenderness. As patient had presented [...]