Case Presentation: A man in his early 20s with hypothyroidism and low testosterone (on levothyroxine and testosterone) presented with fatigue and a 100-pound weight loss over 10 months. He denied systemic symptoms (e.g., fever, night sweats) or other medications. There was a possible family history of liver disease. On exam, he was afebrile (36.6°C), hypotensive [...]

Case Presentation: This case highlights a 31-year-old female who presented with severe post-prandial abdominal pain and night sweats who was identified to have marked thrombocytosis (2.5million) with only a mild leukocytosis(20K). The patient was admitted to the hospital for urgent evaluation given the risk of untreated extreme thrombocytosis. A bone marrow biopsy was conducted which [...]

Case Presentation: A 47-year-old body builder with a history of anabolic steroid use, five recent subcutaneous infections thought to be due to non-sterile street drugs, and recent development of CKD 2 was admitted for left lateral thigh cellulitis and mild AKI. Following IV antibiotic initiation, patient reported worsening leg pain. MRI of the leg identified [...]

Case Presentation: A 72-year-old woman with breast cancer treated with lumpectomy and radiation in 2021, diverticulosis diagnosed by colonoscopy in 2018, and recent dental work, presented to the emergency department with cough, congestion, diarrhea, dizziness, and an episode of near-syncope. Two days prior to presentation she tested positive for COVID-19 and was prescribed nirmatrelvir / [...]

Case Presentation: We present a case of a 22-year-old female with necrotizing lymphadenopathy, later diagnosed with Kikuchi-Fujimoto disease (KFD). The patient initially presented with fevers, night sweats, and painful swelling in the left side of her neck progressively worsening over four days. She also reported lightheadedness, a left-sided orbital headache, and a decreased appetite. There [...]

Case Presentation: A 57-year-old man with history of Stage IV pancreatic adenocarcinoma, coronary artery disease, and deep venous thrombosis presented to the emergency room with chest pain and acute bilateral lower extremity swelling. The chest pain began several hours prior to admission and the swelling developed over the past 3 days. On exam, he had [...]

Case Presentation: A 50-year-old female with a history of CKD5, cervical cancer, and severe PAD presented to the ED with 1 day of altered mental status and hypoxia. On arrival, she was found to be in septic shock with renal failure. She underwent emergent hemodialysis (HD) and was admitted to the ICU. Imaging was consistent [...]

Case Presentation: The patient is a 37-year-old male with medical history significant for HIV infection. He was admitted for evaluation of a rapidly enlarging, left maxillary mass over the previous 6 months. At the time of presentation, it was estimated that he had not been on highly active antiretroviral therapy (HAART) for 12 months. His [...]

Case Presentation: A 32-year-old female with focal epilepsy presented with several episodes of drop attacks with associated loss of consciousness (LOC). There were no witnessed tonic-clonic movements or prolonged post-event confusion. There were no prodromal symptoms including chest pain, palpitations, or features of increased parasympathetic tone. Vital signs and physical exam were normal. Initial electrocardiogram [...]

Case Presentation: A 65-year-old man with hypertension presented to his primary care doctor with six months of lower extremity swelling. He also reported dyspnea on exertion, fatigue, unintentional weight loss, maculopapular rash, and foamy urine. Labs revealed hypoalbuminemia, elevated inflammatory markers, and protein-to-creatinine ratio of 3882, raising concern for nephrotic syndrome.He was referred to nephrology [...]