Case Presentation: A 14-year-old female with a one-month history of iron-deficiency anemia due to menorrhagia presented to the emergency room for weakness and dizziness. She was found to have a hemoglobin of 3.7 g/dL in the setting of her menstrual cycle. Menarche began at age 13 and has gradually become longer and heavier. Most recent [...]

Background: It is known that anemia is associated with increased morbidity and mortality in patients with chronic comorbidities. Here, we establish an association between mild and moderate anemia with increased healthcare utilization (HU). Methods: We conducted a retrospective study analyzing HU comprising Emergency Room (ER) visits and Inpatient (IP) admissions over 12 months in patients [...]

Background: Hospital readmissions are a significant healthcare concern, particularly for patients harboring liver cirrhosis. Optimizing discharge planning and transitional care management for this population requires a detailed understanding of the factors associated with readmission risk, stratified by disease severity. Elixhauser Comorbidity Index v2024.1 guided identification of patients with standardize mild versus moderate-severe cirrhosis plus respective [...]

Case Presentation: A 70-year-old male with a past medical history of nephrotic syndrome secondary to anti-phospholipase A2 receptor (anti-PLA2R) associated membranous nephropathy presented with acute, progressive dyspnea. Exam was notable for pallor and his admission hemoglobin was 4.8. Initial labs also showed WBC 2.9, platelets 104, LDH 724, ferritin 2,215, Creatinine 1.8. Blood smear remarkable [...]

Case Presentation: A 23-year-old man with alcohol use disorder presents with abdominal swelling, lower extremity edema, jaundice, and early satiety. Physical examination revealed icteric sclera, conjunctival pallor, distended abdomen with notable ascites, and lower extremity edema. Initial labs showed macrocytic anemia at 7.5 g/dl with mean cell volume of 127.2 fL, white blood cell count [...]

Case Presentation: Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that can involve multiple organs, including the central nervous system (CNS). Neuropsychiatric systemic lupus erythematosus (NPSLE) refers to a spectrum of neurological and psychiatric symptoms such as cognitive dysfunction, psychosis, mood disorders, and seizures. Status epilepticus is a rare and severe presentation often associated [...]

Case Presentation: A 37-year-old female with no medical history presented for lab abnormalities. Initial blood work revealed a hemoglobin of 5.1 g/dL with a MCV and MCH unable to be calculated. Her white blood cell and platelet counts were normal. She denied melena, hematochezia, or other episodes of bleeding other than menorrhagia requiring up to [...]

Case Presentation: 42-year-old female with past medical history of type 1 diabetes mellitus complicated by recurrent diabetic ketoacidosis (DKA), coronary artery disease (CAD), peripheral arterial disease (PAD), and blue toe syndrome (BTS) complicated by recent amputations of her right 1-2 toes, presented to an outside hospital (OSH) in DKA. She was also septic with methicillin-susceptible [...]

Case Presentation: Acquired thrombotic thrombocytopenic purpura (TTP) is a rare antibody-mediated thrombotic microangiopathy that requires prompt identification and treatment. We present the case of a 32-year-old female with a history of systemic lupus erythematosus, asthma, augmentation mastopexy (11 years prior), and an antecedent episode of TTP following silicone breast implant placement who presented with back [...]

Case Presentation: A 22-year-old woman with no known medical history presented with visual hallucinations, confusion, and jaundice. Her friend reported chronic nitrous oxide (N₂O) inhalation, escalating to three cans per day over the prior month. This increase coincided with a recent job loss and worsening mood. Days before admission, over 100 empty N₂O cans were [...]