Case Presentation: A 58 year-old man with a past medical history of Chronic Obstructive Pulmonary Disease, poorly controlled Diabetes Mellitus (HbA1C 9.5%), and Hepatitis C with liver cirrhosis, presented with acute respiratory distress syndrome due to bibasilar community acquired pneumonia, eventually requiring extracorporeal membrane oxygenation. His hospital course was further complicated by empyema requiring placement [...]

Case Presentation: A 52-year-old woman presented to the emergency department with altered mental status, headaches, and bilateral visual loss. She was admitted a month prior due to severe anemia with hemoglobin of 1.6 grams per deciliter resulting from chronic menorrhagia. She had received multiple blood transfusions at that time.On presentation, her blood pressure was 130/62 [...]

Case Presentation: An 80-year-old man with recently-diagnosed pulmonary fibrosis presented to the hospital with ascending bilateral lower extremity pain and weakness. His symptoms began in both feet and calves, and progressed proximally toward his thighs over the past 6 weeks. During this timeframe, his symptoms evolved from being able to ambulate for miles and climb [...]

Case Presentation: A 41-year-old Caucasian female with a significant past medical history of Factor V Leiden deficiency presented to our institution for evaluation of new-onset seizures that began while driving. No head trauma or other bodily harm was sustained. The patient was non-ill appearing and hemodynamically stable. The physical exam was otherwise unremarkable. Laboratory evaluations [...]

Case Presentation: A 75-year-old man with recurrent well-differentiated liposarcoma on Palbociclib s/p multiple tumor resections and recent cryoablation of a right retrocaval lesion 6 weeks prior, presented with 5 weeks of worsening right flank pain, decreased appetite, and 25-pound unintentional weight loss. He was afebrile with normal vitals. He had petechiae on his palate. Labs [...]

Case Presentation: A 56-year-old female with stage IIB T2N0M0, grade 3, and triple negative breast cancer, was treated with lumpectomy and neoadjuvant chemoimmunotherapy (dose-dense doxorubicin and cyclophosphamide followed by carboplatin/paclitaxel/pembrolizumab). This resulted in near-complete remission. However, evidence of residual disease was found and she was started on pembrolizumab and capecitabine for 3 months. She presented [...]

Case Presentation: Patient is a 60-year-old male with past medical history of Ledin’s factor V deficiency who presented to the ER with complaints of fever, chills, and weakness. His symptoms started with a headache, cyclical fevers, and violent rigors lasting several minutes. With the onset of rigors, patient progressed to develop ascending weakness. In the [...]

Case Presentation: Twenty-two-year-old female with history of asthma presented to Emergency Department with recurrent fevers (101-103F) and tachycardia since June 13, 2023. Patient saw her PCP on 6/10, for fever, tachycardia and abdominal pain and started on Cefdinir for possible sinusitis which she started taking yesterday. Patient had associated non-specific diffused abdominal pain, back pain, [...]

Case Presentation: A 65-year-old woman with antiphospholipid syndrome (APLS), and history of multiple lower extremity deep vein thrombosis (DVT) and miscarriages, on warfarin presented with syncope, fall, and head-strike. She was found to have an acute subdural hematoma (SDH) in the interhemispheric fissure and a non-occlusive DVT in the left femoral vein. Initial labs showed [...]

Case Presentation: A 41 year old female from Haiti with a history of uterine fibroids and menorrhagia presents to the emergency room with subacute abdominal distension. A CT shows moderate ascites with peritoneal enhancement and infiltration of mesenteric fat by soft tissue densities suggestive of omental caking, thus favoring peritoneal carcinomatosis versus peritonitis. Serum CA-125 [...]