Case Presentation: A 71-year-old man presented with 1 week of progressive fatigue and weakness. Upon arrival, he stated that he could not get out of bed, even to use the bathroom. Notably, he had undergone an infusion of carboplatin, pemetrexed, and pembrolizumab for treatment of lung adenocarcinoma 9 days before presenting. He attributed his symptoms [...]

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 [...]

Case Presentation: A 70-year-old man with a past medical history of HIV on antiretroviral therapy, chronic obstructive pulmonary disease, tobacco use disorder, and ischemic cardiomyopathy presented due to 2 weeks of headache and hemoptysis. On review of systems he noted chronic diplopia going on for the last few months. The initial examination did not note [...]

Case Presentation: A 61-year-old, non-smoking, white female with history of Coronavirus disease 2019 (COVID-19) twice, and long COVID syndrome, presented with progressively worsening dyspnea over the last five months. She was repeatedly diagnosed with pneumonia and treated with antibiotics and steroids without relief prior to hospital presentation. Workup in the hospital revealed neutrophilic leukocytosis, but [...]

Case Presentation: Tumor lysis syndrome (TLS) is a potentially fatal complication usually seen in rapidly proliferating and chemo-sensitive malignancies like acute leukemia and lymphomas. (1-3) It is termed “spontaneous” (STLS) when TLS occurs without prior chemotherapy. (1) The incidence of STLS in solid tumors is infrequent/rare and can be fatal without early recognition and aggressive [...]

Case Presentation: An 80 year old man presented to the hospital with progressively worsening dyspnea for three weeks. His past medical history was most significant for stage IV parotid gland adenocarcinoma. One week prior to presentation he was hospitalized for exertional dyspnea. Though the hypoxia workup at that time did not reveal a clear etiology, [...]

Case Presentation: 71M with PMHx of pAfib on Eliquis, HTN, and CKD3a admitted to MICU as transfer for AHRF with severe pulmonary HTN s/p intubation, pressor support, NGT placement during planned TEE cardioversion for persistent Afib. On arrival active upper GIB was present through his NGT and emergent EGD revealed large distal esophageal mass; cytology [...]

Case Presentation: A 60-year-old man with a history of peptic ulcer disease presented to the emergency room with a two-month history of sharp right lower quadrant abdominal pain that worsened with oral intake, nausea, vomiting, an unintentional 25-pound weight loss, and occasional hematochezia. He denied regular NSAID use, melena, early satiety, heartburn, odynophagia, or dysphagia. [...]

Case Presentation: 42-year-old female with lung adenocarcinoma (with metastases to T-spine s/p corpectomy and XRT to T-spine and lung) presented with four weeks of constant pressure-like headaches and oral intolerance due to nausea and vomiting. She denied fevers, chills, night sweats or hemoptysis. Home medication included osimertinib for her lung cancer. She had no significant [...]