Case Presentation: A 55-year-old female with a history of metastatic left renal cell carcinoma to the left hemipelvis status post nephrectomy and immunotherapy, and generalized anxiety disorder presented for chronic diarrhea described as over 10 episodes of large volume watery stools daily persisting with fasting and associated with cramping abdominal pain. She reported that previous [...]

Case Presentation: A 71-year-old woman with a past medical history of hypertension presented for right sided flank pain and post-menopausal bleeding. The initial CT abdomen and pelvis demonstrated bilateral pleural effusions, diffuse lymphadenopathy, and right sided ureteropelvic junction (UPJ) stenosis with hydronephrosis. She underwent lymph node fine needle aspiration (FNA) and then transferred to our [...]

Case Presentation: A 34 year-old woman with no significant past medical or psychiatric history presented to our emergency department (ED) with concern for catatonia. Two months prior, the patient developed sudden onset of bizarre behavior, aggression, and psychosis leading to a one-month admission at an outside psychiatric hospital. She did not improve clinically despite treatment [...]

Case Presentation: A 51-year-old female with a BRCA mutation and a history of prophylactic bilateral mastectomy presented with neuropsychiatric symptoms, including confusion, memory loss, and excessive sleep. Her medical history included hysterectomy and parotid tumor resection and a family history of various cancers, including prostate, lung, and lymphoma. Initial symptoms, including headaches and nasal congestion, [...]