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 35-year-old female with a history of depression, psychosis, hypertension, and type 2 diabetes presented to the emergency room for severe hypokalemia found on routine labs. She was hospitalized for an episode of psychosis a month prior with a suicide attempt and was being treated at an inpatient mental health clinic since then. [...]

Case Presentation: We present a case of new-onset heart failure in a 31-year-old African American woman in the context of metastatic RMC. The patient was presented with a shortness of breath, swelling and discomfort of left forearm. The patient’s clinical evaluation involved a chest CT scan, which showed a concerning 11.5 x 8.0 x 9.0 [...]

Case Presentation: A 32-year-old female of Chinese descent with no past medical history presented with abdominal pain, nausea and bloating 1 month in duration. Initial labs remarkable for normal blood counts, positive CA 125 of 1118 U/mL and CA 19-9 of 53 U/mL. Abdominal CT demonstrated bilateral ovarian masses, peritoneal carcinomatosis with omental caking and [...]

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: An 84-year-old male with oncologic history of oligometastatic ccRCC, metastatic prostate cancer and melanoma was found to have a 16mm enhancing, pancreatic head mass on evaluation of an infrarenal abdominal aortic aneurysm on computed tomography (CT). At age 61, he underwent a left radical nephrectomy for a 5 cm, Grade II ccRCC with [...]

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 73-year-old male presented to the Emergency Department for a 2-month history of progressive dyspnea on exertion, orthopnea, and bilateral lower extremity edema on a background of long-standing COPD with active tobacco use. Exam was relevant for sarcopenia, mild tachypnea, decreased breath sounds in the bases, no wheezing or JVD, 2-3 + bilateral [...]

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: The patient is a 58-year-old hispanic man with a past medical history of decompensated hepatitis C virus, alcoholic cirrhosis, hepatocellular carcinoma (HCC), and asthma who presented for definitive management of his known hepatic mass. Based on prior work up and imaging, this mass was presumed to be HCC. He presented to the hospital [...]