Case Presentation: A 57-year-old female with end-stage renal disease (ESRD) on hemodialysis and a history of calciphylaxis presented with a non-healing wound on her right hand. Two months prior, she developed a wound on the dorsal surface of her right fourth finger without antecedent trauma. The lesion became painful and discolored, resistant to multiple courses [...]

Case Presentation: A 55-year-old female with a history of metastatic left renal cell carcinoma to the left hemipelvis status post nephrectomy and immunotherapy, and generalized anxiety disorder presented for chronic diarrhea described as over 10 episodes of large volume watery stools daily persisting with fasting and associated with cramping abdominal pain. She reported that previous [...]

Case Presentation: A 37-year-old female with no medical history presented for lab abnormalities. Initial blood work revealed a hemoglobin of 5.1 g/dL with a MCV and MCH unable to be calculated. Her white blood cell and platelet counts were normal. She denied melena, hematochezia, or other episodes of bleeding other than menorrhagia requiring up to [...]

Case Presentation: A 70-year-old male with a past medical history notable for HFrEF, CAD, hypertension, hyperlipidemia, CKD, and CHRF presented to an outside emergency department with a two-month history of unintentional weight loss, nausea, and worsening lower abdominal pain radiating to the back. CT angiogram showed abnormal soft tissue enhancement around the infrarenal abdominal aorta. [...]

Case Presentation: Patient is a 96 year-old male with significant medical history of hypertension, hyperlipidemia, hypothyroidism, prior left thalamic and internal capsule stroke, shingles, and bilateral blindness who resides in a skilled facility presenting with unsteady gait and garbled speech. Patient presented to an outside hospital on 10/3/2024 for aphasia, dysphagia and right-sided weakness, in [...]

Case Presentation: An 82-year-old male with a history of coronary artery disease, type 2 diabetes mellitus, and cholangiocarcinoma presented with palpitations. Elevated troponin levels were noted at an outside hospital, he left against medical advice and present to UCLA for further evaluation. He presented with fatigue since his recent first cycle of treatment (cisplatin, gemcitabine, [...]

Case Presentation: A 63-year-old female with paroxysmal atrial fibrillation managed with apixaban status post biventricular pacemaker implantation a year ago presented with persistent chest pain and worsening dyspnea over the past week, accompanied by bilateral lower extremity pain. She reported a persistent “poking” sensation in her chest, particularly with movement. Vitals were stable and afebrile. [...]

Case Presentation: A 75-year-old female with a history of left radical nephrectomy for renal cell carcinoma presented with one month of progressively worsening left-sided chest and back discomfort following her surgery. CT of the abdomen/pelvis revealed left-sided pleural effusion and a retroperitoneal fluid collection in the left renal fossa. The patient underwent thoracentesis with 600 [...]

Case Presentation: 38-year-old healthy female presented with left sided facial droop, dyspnea on exertion and rash. Weeks before, she had myalgias, subjective fevers and fatigue. Days prior to presentation, she developed bilateral lower extremity edema, a mildly pruritic leg rash, and exertional dyspnea. The day of admission, she developed left sided facial droop. Exam revealed [...]

Case Presentation: A 32-year-old woman presented with progressively worsening abdominal distention for weeks associated with abdominal pain, postprandial nausea and emesis. The physical exam was notable for generalized tenderness and fluid wave. Lab work revealed proteinuria, acute kidney injury, normocytic anemia, and leukocytosis. She had undergone a diagnostic paracentesis at an outside hospital that had [...]