Case Presentation: Hemophagocytic lymphohystiocytosis (HLH) is a rare cause of pancytopenia. Patients with sickle cell disease can present with pancytopenia and recognition of (HLH) in patients with sickle cell disease may be a lifesaving diagnosis.Case presentation:A 39-year-old female with past medical history of sickle cell anemia and moyamoya disease was admitted with sickle cell vaso-occlusive [...]

Case Presentation: 62-year-old male with a PMH notable for recurrent epistaxis, bleeding post-dental procedures & IDA since childhood on & off oral iron supplementation presented to the hospital with a traumatic head injury resulting in a SAH/SDH. Initial laboratory work found normocytic anemia & severe thrombocytopenia (TCP) – 25 X 10E+09/L . CT abdomen & [...]

Case Presentation: An 18-year-old male with no significant past medical history presented with four days of worsening fever, sore throat, nausea, vomiting, headache, and difficulty swallowing. One month prior, he presented to an urgent care with an enlarged tender lump below his chin and swollen lymph nodes. He was diagnosed with infectious mononucleosis (IM) and [...]

Case Presentation: A 76-year-old white woman with a past medical history of RA, being treated with MTX, sarilumab, and folic acid supplementation, presented to the hospital for worsening pain and lethargy. Physical exam displayed dry mucous membranes, ulcerations throughout the oropharynx, and purple digits from distal interphalangeal joints to the fingernails bilaterally. Additionally, she was [...]

Case Presentation: A 84-year-old woman with a past medical history of HTN, DM2, CHF, and hypothyroidism presented to an offsite ED after falling on her buttock when rising from a kitchen chair. She had an uneventful course of COVID-19 four weeks prior. Over the last 2 weeks, she developed progressive weakness. Upon arrival at the [...]

Case Presentation: We present a case of a 68-year-old female with a history of CKD IV and chronic iron deficiency anemia who was admitted for symptoms of generalized weakness and found to be in hypovolemic shock from a suspected GI bleed. The hospital course was complicated by a left MCA stroke. During the initial workup, [...]

Case Presentation: A 54-year-old man presented with fever and malaise for two weeks associated with chills, non-bloody diarrhea, and unintentional weight loss of 8 lbs. He tested positive for influenza-A two weeks prior to presentation and was started on Oseltamivir by his primary care physician, without symptomatic improvement. There was no recent history of sick [...]

Case Presentation: A 57-year-old man with congestive heart failure and coronary artery disease presented with shortness of breath of two days duration. He denied fevers, chills, chest pain, or cough. Presenting vitals were significant for oxygen saturation of 80%, requiring. All other vitals were within normal limits. Physical exam was unremarkable. His labs were significant [...]

Case Presentation: A 31-year-old female with no significant past medical history presented to the emergency department (ED) for evaluation of bilateral lower extremity pain. The patient reported that about 2 weeks ago, the pain started in the left lower extremity. At that time she was evaluated in ED and duplex ultrasound was negative for DVT. [...]

Case Presentation: 70 year old male veteran with Lung Adenocarcinoma, Chronic Obstructive Pulmonary Disease, and remote Mucosa Associated Lymphoid Tissue Lymphoma presents with nausea, diaphoresis, and shortness of breath following administration of intravenous Iodinated Contrast Media (ICM) obtained for a staging Computerized Tomography (CT) scan. The patient was afebrile, with sinus tachycardia at 120 beats [...]