Case Presentation: A 37-year-old female with no medical history presented for lab abnormalities. Initial blood work revealed a hemoglobin of 5.1 g/dL with a MCV and MCH unable to be calculated. Her white blood cell and platelet counts were normal. She denied melena, hematochezia, or other episodes of bleeding other than menorrhagia requiring up to [...]

Case Presentation: A 22-year-old woman with no known medical history presented with visual hallucinations, confusion, and jaundice. Her friend reported chronic nitrous oxide (N₂O) inhalation, escalating to three cans per day over the prior month. This increase coincided with a recent job loss and worsening mood. Days before admission, over 100 empty N₂O cans were [...]

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 50-year-old man with chronic alcohol use (10 beers per week) presented with three months of malaise, lower extremity edema, and 20-pound weight loss. Physical exam revealed jaundice, macroglossia, 2/6 apical systolic murmur, lung crackles, abdominal distension, and bilateral lower extremity pitting edema. Initial labs were notable for hemoglobin of 2.3 g/dL, MCV [...]