Case Presentation: A 46-year-old female with a medical history of type 2 diabetes, asthma, obesity, and anxiety presented to the emergency department with a five-day history of fever, myalgias, and headache. Additionally, she experienced intermittent episodes of epistaxis and gingival bleeding while brushing her teeth for the past week. She had recently returned from a [...]

Case Presentation: A female patient was referred to hematology/oncology with severe neutropenia and leukopenia. Bone marrow biopsy revealed ringed sideroblasts with multilineage dysplasia consistent with MDS. Further diagnostic workups did not reveal common genetic mutations, and she was scheduled to start treatment with either erythropoietin or luspatercept. Copper deficiency was later found in follow-up, which [...]

Case Presentation: Mr. D is a 60-year-old male building superintendent with a history of asthma and moderate alcohol use disorder who presented with six days of fatigue. Later, he developed headache, substernal pleuritic chest pain, epigastric and RUQ abdominal pain, nausea, vomiting, and weight loss of around 20 pounds in a week. The patient reported [...]

Case Presentation: A 66-year-old male with a past medical history of hypertension, atrial fibrillation, and diabetes initially presented to the hospital with shortness of breath, fatigue, and several episodes of bloody stool after two weeks of intermittent bloody stool at home. He reported that he had seen his PCP who had initiated a workup but [...]

Case Presentation: 63-year-old female with medical history significant for idiopathic thrombocytopenia purpura (ITP), requiring splenectomy in 2013, pulmonary embolism requiring IVC filter placement due to ITP and asthma, presented with acute onset of shortness of breath. Patient had diffuse petechial rash on extremities. She was tachypneic, hypoxic and had rales on examination. Initial evaluation with [...]

Case Presentation: A 43-year-old man with a history of chronic hepatitis B on antiviral therapy was admitted to a hospital medicine service with low back pain, weight loss, fevers, and fatigue over 2-3 months. Exam showed cervical lymphadenopathy (LAD), and initial labs were notable for a hemoglobin of 9.7g/dL, platelet count of 40×109/L, and rare [...]

Case Presentation: A 19-year-old woman presented to an outside hospital with 2-hours of slurred speech and right-sided paresthesia. Her past medical history was significant for obesity and gastric sleeve surgery. Vitals showed blood pressure of 156/98 mmHg, pulse of 96 bpm, respiratory rate of 18 bpm, and oxygen saturation of 100% on room air. The [...]

Case Presentation: The patient is a 66-year-old female with a past medical history of asthma-COPD overlap (ACO) with recent exacerbation who presented with sudden-onset severe dyspnea. Patient was intubated for ACO exacerbation three weeks prior to admission and was started on heparin for deep vein thrombosis prophylaxis with platelet at 293, 000/microliter. At the rehabilitation [...]

Case Presentation: A 65-year-old male with hypertension, hyperlipidemia, type 2 diabetes, and hypothyroidism was admitted to the hospital with fevers and chills in the setting of leukopenia and thrombocytopenia. Symptoms began on his way home from India four days prior and progressed to a Tmax of 102F with chest congestion. His physician ordered labwork that [...]

Case Presentation: We present the case of a 59-year-old African American female with no past medical history who presented with 6 weeks of progressively worsening fatigue, weakness, poor oral intake, and noticeable unintentional weight loss. Physical exam revealed 3 out of 5 muscle strength of all extremities and hyperpigmentation of the hands and feet bilaterally. [...]