Case Presentation: A 36-year-old male with a past medical history of chronic phase chronic myelogenous leukemia with multiple relapses, never achieving remission, and recently diagnosed with the T315I resistant mutation treated with single agent ponatinib presented to the ED with complaints of pleuritic chest pain and shortness of breath. Exam was notable for mid neck [...]

Case Presentation: A 63-year-old female with a history of laryngeal cancer presented with upper abdominal pain, nausea, and fatigue. Labs showed a white blood cell count of 41.5 × 10^9/L, hemoglobin of 10.1 g/dL, platelet count of 162,000/µL, and absolute neutrophil count of 9.97 × 10^9/L, with basophilia (1.0 k/µL). Peripheral blood smear had circulating [...]

Case Presentation: This case highlights a 31-year-old female who presented with severe post-prandial abdominal pain and night sweats who was identified to have marked thrombocytosis (2.5million) with only a mild leukocytosis(20K). The patient was admitted to the hospital for urgent evaluation given the risk of untreated extreme thrombocytosis. A bone marrow biopsy was conducted which [...]

Case Presentation: A 77-year-old man with a history of coronary artery disease and prior coronary artery bypass surgery presented with a five-day history of fever and shortness of breath. On examination, he had a temperature of 101.8°F, heart rate of 131 bpm, respiratory rate of 44, and oxygen saturation of 96% on room air. Laboratory [...]

Case Presentation: A 73-year-old male with a history of Crohn’s disease presented to an outside hospital with exertional shortness of breath and palpitations. He was treated for symptomatic anemia secondary to vitamin B12 deficiency. He was then referred to our hospital due to the presence of rare blasts on blood smear. Upon arrival, he was [...]