Case Presentation: A 49-year old man presented to the emergency department (ED) with dizziness and lethargy. He had a history of hypertension, anemia, and pilomatrix carcinoma (PC), a rare cutaneous malignancy. This was diagnosed one year prior and treated with wide excision with negative margins. He was lost to follow up for 7 months prior [...]

Case Presentation: A 70-year-old female with coronary artery disease (s/p drug-eluting stent x 2 10 years ago), Type 2 Diabetes Mellitus, rheumatoid arthritis, Chronic Obstructive Pulmonary Disease, and remote history of bladder cancer presented to the emergency department with two weeks of nausea, jaundice, dark colored urine, loss of appetite, and clay-colored stool. The patient [...]

Case Presentation: A 70 year old female with metastatic cholangiocarcinoma, heart failure with reduced ejection fraction, stage 4 chronic kidney disease and pulmonary embolism on anticoagulation presented to a NYC safety net hospital with bilateral lower extremity edema, dyspnea at rest and a recent unwitnessed fall. Her malignancy was diagnosed 7 months prior and her [...]

Case Presentation: A 73-year-old woman with type II diabetes presented with right eye pain and decreased vision. On exam, she had right eye periorbital edema, conjunctival injection, and corneal opacification. Laboratory studies revealed Streptococcus pneumoniae bloodstream infection and meningitis. Imaging demonstrated leptomeningeal enhancement, debris in the occipital horns and fourth ventricle consistent with ventriculitis, and [...]

Case Presentation: A 42 year-old woman with no significant past medical history presented with a one-week history of sudden bilateral vision loss. Two weeks prior, she reported new bifrontal, pounding headaches with subsequent blurring of vision in her right eye. After two weeks, her headaches suddenly disappeared with sudden bilateral, painless blindness. Evaluation by a [...]

Case Presentation: 16-month-old boy with developmental delay, anal atresia, lipomyelomeningocele, and tethered cord syndrome transferred to a tertiary care center for recurrent postprandial blood-streaked emesis and failure to thrive. His past surgical history was remarkable for anorectoplasty. On admission to the outside hospital, his laboratory values were consistent with dehydration, hemoconcentration & hypokalemia. Stool occult [...]