Case Presentation: A female patient was referred to hematology/oncology with severe neutropenia and leukopenia. Bone marrow biopsy revealed ringed sideroblasts with multilineage dysplasia consistent with MDS. Further diagnostic workups did not reveal common genetic mutations, and she was scheduled to start treatment with either erythropoietin or luspatercept. Copper deficiency was later found in follow-up, which [...]

Case Presentation: A 61-year-old female with a medical history of heart failure, hypertension, asthma, and prior history of stroke presented to the emergency department with progressive dyspnea, right-sided chest pain, and increased bilateral lower extremity edema. On presentation, she was hemodynamically stable with blood pressure 138/86 mm Hg, pulse 99 bpm, saturating 98% on room [...]

Case Presentation: A 34-year-old male smoker with no significant medical history presented to the ED with fever and bilateral inguinal lymph node swelling and pain for one week duration. Patient recently emigrated from China two months prior and traveled through the rainforests of Colombia, where he resided for two days, then El Salvador, Honduras, Nicaragua, [...]

Case Presentation: We present the case of a 66-year-old woman with metastatic plasmacytoid bladder cancer on pembrolizumab, complicated by peritoneal carcinomatosis, who was hospitalized for aspiration pneumonia in the setting of intractable nausea and vomiting. While her pneumonia responded rapidly to antibiotics, her GI symptoms progressed throughout her 4-week hospitalization. On exam, she was hemodynamically [...]

Case Presentation: Introduction:Tuberculosis (TB) remains a global health issue, with extrapulmonary TB often mimicking other conditions.¹ Diagnosing tuberculous peritonitis is particularly challenging in resource-limited settings, where nonspecific symptoms and limited diagnostics create barriers. This case highlights the complexities of diagnosing tuberculous peritonitis in a chronic alcoholic patient, initially suspected of decompensated liver disease (DCLD) despite [...]

Case Presentation: A 38 year old woman with a history of alcohol use disorder was admitted with a month of gradually progressive weakness of the legs. She then developed shoulder girdle weakness, and eventually weakness, tingling, and numbness of the hands and feet. The day prior to her presentation, she developed dysarthria, shortness of breath, [...]

Case Presentation: 44-year-old male with past medical history of diabetes mellites, hypertension, pancreatitis and hypertriglyceridemia presented to the ED with acute abdominal pain and vomiting. Physical examination was unremarkable other than epigastric tenderness and elevated BMI of 33. Chemistry revealed glucose: 259 mg/dL, bicarbonate: 20 mmol/L, anion gap 19, lipase 1170 U/L, WBC count 15.6K/cc, [...]

Case Presentation: A 63-year-old man presented with fever for 1 week and bilateral leg pain. He was found to have bilateral deep vein thrombosis (DVT) and treated with heparin drip, then Eliquis, but fever and leukocytosis (14-20k/mm3) persisted. Extensive workup—computed tomography (CT) scans of his chest and abdomen/pelvis, magnetic resonance imaging of his spine, nuclear [...]

Case Presentation: A 50-year-old female with history of seropositive rheumatoid arthritis, peptic ulcer disease, and chronic idiopathic pancreatitis status post Whipple procedure presented with one-week history of nausea, vomiting, and diarrhea. Her symptoms began prior to a cruise vacation, though she denied any other recent travel or sick contacts. The patient endorsed similar episodes up [...]

Case Presentation: A 57-year-old male with past medical history of alcohol-induced chronic pancreatitis complicated by chronic pain, opioid use disorder (OUD) on methadone, and depression on sertraline presented to the emergency department with dizziness, dyspnea, and nausea. About six months prior to admission, he had been transitioned from buprenorphine to methadone for better pain control. [...]