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 23-year-old female presented to the ED, 6 days postpartum with weakness, vomiting, and jaundice following a delivery complicated by preeclampsia. On examination, she had scleral icterus, and labs showed hemoglobin of 6 (normal 12.1- 15.1 g/dL), platelets of 8 (normal 150 – 400× 10^9/L), elevated LDH, low haptoglobin, and schistocytes, suggesting hemolysis. Creatinine was [...]

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 35-year-old male with a history of HIV (on Biktarvy), Kaposi sarcoma s/p chemotherapy, hypertension, and tobacco use presented to the ER with a syncopal episode. The patient reported sharp chest and abdominal pain, shortness of breath, fever, chills, tremors, and bloody stools over the past week. On admission, his vital signs revealed [...]

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. [...]

Case Presentation: A 39-year-old obese man with type 2 diabetes, dyslipidemia, and hypertension presented to the ED with intermittent abdominal pain, diarrhea, nausea, and emesis 2 weeks after an illness with sore throat. He denied fever, chills, shortness of breath, epistaxis, gum bleeding, or easy bruising. Medications included losartan-hydrochlorothiazide, metformin, and tirzepatide. Vital signs showed [...]

Case Presentation: History: A 67-year-old male with a complex medical history, including HIV on HAART, Type 2 diabetes mellitus (T2DM), stage III CKD with microalbuminuria, severe aortic stenosis treated with TAVR, and post-procedural complete heart block managed with a dual-chamber pacemaker, presented to the emergency department with right-sided abdominal pain. This pain, described as cramping, [...]

Case Presentation: This is the case of a 39-year-old male with a past medical history of vitiligo presenting for anemia found on outpatient labs. He has a history of anemia on labs 5 years ago that was never evaluated. For the past week, he reported fatigue and dyspnea on exertion. He reported episodes of significant [...]