Case Presentation: An 80-year-old Caucasian male with a history of recently diagnosed transitional cell carcinoma, diastolic heart failure (EF 65%), BPH, and CKD stage III presented with dysuria, hematuria, fever, and dyspnea one-month after cystoscopy with left ureteral stent exchange and palliative laser ablations of his ureteral and bladder lesions. Chest radiograph and CT abdomen [...]

Case Presentation: INTRODUCTION:Hepatopulmonary syndrome (HPS) is a complication seen in 4-7% of patients with chronic liver disease. The definitive treatment for HPS is liver transplantation (LT). A high index of suspicion is required to diagnose HPS. We present a perplexing case of HPS presenting with just hypoxia and orthodeoxia in the setting of liver disease.CASE [...]

Case Presentation: This is a unique case of acquired thrombotic thrombocytic purpura (aTTP) due to the novel SARS-CoV-2 virus (COVID-19). Our patient is a 36-year old male with hypertension, alpha-thalassemia trait, who presented with abdominal pain. He has a family history pertinent for a sister with immune thrombocytopenic purpura. He was found to have cholecystitis [...]

Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated [...]

Case Presentation: An 86-year-old female with history of hypertension and endometrial cancer was admitted for acute kidney injury. On presentation, patient’s creatinine was 3.06 mg/dL, associated with a dipstick urinalysis showing proteins 100 mg/dL. She was unresponsive to intravenous fluids, demonstrated by a persistent rise in her creatinine to 3.89 mg/dL. Urine output and oral [...]

Case Presentation: A 60-year-old female with a history of tobacco use disorder, laryngeal cancer status post chemotherapy and radiation, hyperlipidemia, and hypertension presented with tongue pain. Ten days before her presentation, she developed a small painful blister on her tongue, which was associated with difficulty eating and drinking. She decided to come to the hospital [...]

Case Presentation: A 43-year-old woman with a history of SLE underwent a renal biopsy for proteinuria without immediate complications. Four days post-procedure, she reported fever and myalgia. She was also found to have a drop in hemoglobin from 11.1 to 9.8 g/dL. A CT abdomen showed a left renal subscapular and retroperitoneal hematoma without active [...]

Case Presentation: A 56-year-old smoking female presented to the emergency room with a two-month history of progressive shortness of breath, dry cough, and unintentional weight loss. Her vital signs included a temperature of 36.4°C, heart rate of 116 beats/minute, and a respiratory rate of 24 breaths/minute. Her general appearance was a thin and cachectic woman [...]

Case Presentation: A 44-year-old female with a past medical history of uncontrolled type 2 diabetes mellitus (hemoglobin A1c 16.5%), hypertension, and obesity presented to the emergency room (ER) for left sided facial swelling after a mosquito bite. Physical exam revealed swelling, erythema, and tenderness and she was diagnosed with facial cellulitis, for which she was [...]

Case Presentation: A 74-year-old man with history of diffuse B cell lymphoma presented with 2 day history of fever, urinary frequency and dysuria, associated with poor oral intake, weakness and lightheadedness. He had completed the 6th and final cycle of chemotherapy with Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone, about 8 days prior to presentation. Vital [...]