Case Presentation: 69-year-old-female with past medical history significant for Heart Failure with preserved ejection fraction (HFpEF), chronic lymphedema, and hypertension presented with 1 week of shortness of breath, melena and dysphagia. On admission, vital signs were notable for hypotension and physical examination revealed bibasilar rales and abdominal distension. Laboratory findings showed hyponatremia (129 mmol/L), elevated [...]

Case Presentation: A 70-year-old male presented with generalized fatigue and worsening shortness of breath with exertion. A diagnosis of acute exacerbation of heart failure was made. Initial evaluation with echocardiogram and MRI raised suspicion for amyloidosis. A PYP scan was performed, which was not suggestive for transthyretin amyloidosis (ATTR). Serum free light chain (sFLC) testing [...]

Case Presentation: A 50-year-old male with a history of hidradenitis suppurativa (HS) presented after abnormal outpatient lab work including a newly elevated creatinine. The patient has been in his usual state of health and was recently started on prednisone 30mg for his HS. In preparation for initiation of immunologic agent for HS, he went to [...]

Case Presentation: A 63-year-old female with insulin-dependent diabetes was transferred to our hospital for surgical evaluation of a large, ulcerated nodule on her abdomen. The patient had been injecting insulin into the same area on her abdomen for years, causing a nodule to enlarge insidiously over past decades. It ulcerated about two years ago and [...]

Case Presentation: An 81-year-old male with type 2 diabetes mellitus and emphysema visiting from Thailand presented to the Emergency Department for cough and shortness of breath over one week. Vitals included: 36.3C, 103/87 mmHg, 88 bpm. He was found to be hypoxic with an oxygen saturation of 69% on room air requiring non-invasive ventilation. Computed [...]