Case Presentation: A 60-year-old African American male with a recent diagnosis of thromboangiitis obliterans (Buerger’s disease) presented with new painful penile and scrotal ulcerations in the setting of digital ischemia, palmar skin lesions, bloody diarrhea, a 50-pound weight loss, and progressive dyspnea over the past six months. No vascular etiology for ischemia was found. Labs […]

Case Presentation: We present a case of a 46-year-old Filipina female with SLE and ITP who presented with new hypoxemia and a 6-month history of dry cough, dyspnea, and a 20lb weight loss. The patient had emigrated to the United States in 2002 and worked as an OR nurse. She had received the BCG vaccine […]

Case Presentation: A 77-year-old female was admitted with a 3-week history of pruritus and a 1-week history of jaundice and fatigue. Patient had not used any new medications, except for recently prescribed ACE inhibitors. There was no history of alcohol abuse or liver disease and no recent sick contacts. Other medical conditions are type 2 […]

Case Presentation: A 40-year-old male with a biopsy-proven, signal recognition particle (SRP) positive necrotizing autoimmune myositis (NAM) being treated with abatacept, presented to the hospital with a two-day history of worsening shortness of breath. On arrival to the hospital, vital signs were remarkable for a heart rate of 170/ min. The physical exam was unremarkable. […]

Case Presentation: A 23-year-old male with past medical history significant for recovered COVID 19 pneumonia one year prior presented to the Emergency Department with a chief complaint of shortness of breath with exertion that was gradually worsening. He endorsed increased weakness, fatigue, and pallor over a similar time span. The onset was two weeks prior. […]

Case Presentation: A 66-year-old male with hypertension, type 2 diabetes, hyperlipidemia, pulmonary emboli with +lupus anticoagulant, and intrathecal morphine pump presented for increasingly frequent episodic altered sensorium. Episodes were described as < 30 seconds of paresthesia, speech arrest, and déjà vu; no loss of consciousness or focal deficits. Onset was 2-3 months prior with associated […]