Case Presentation: A 71-year-old man presented with 1 week of progressive fatigue and weakness. Upon arrival, he stated that he could not get out of bed, even to use the bathroom. Notably, he had undergone an infusion of carboplatin, pemetrexed, and pembrolizumab for treatment of lung adenocarcinoma 9 days before presenting. He attributed his symptoms [...]

Case Presentation: A 25-year-old male with a past medical history of well-controlled Celiac disease presented to the hospital with fever and altered mental status after a wellness check was initiated by a family member. The patient was feeling unwell over the past week with fatigue, headache, sore throat, vomiting, and diarrhea. On presentation he was [...]

Case Presentation: A 23-year-old man without prior medical history was brought to the ED from his home for profound somnolence which had progressed over two days. EMTs at the scene noted that the patient was sluggishly responsive to painful stimuli. Initial vital signs were within normal limits, and a point-of-care glucose check was 28 mg/dL. [...]

Case Presentation: We report the case of a 45-year-old female with stage IA triple-negative breast cancer treated with neoadjuvant chemotherapy and pembrolizumab who developed secondary adrenal insufficiency due to adrenocorticotropic hormone (ACTH) deficiency six months after stopping the immune checkpoint inhibitor. She presented with persistent nausea, vomiting, weight loss, and altered mental status. Laboratory results [...]

Case Presentation: A 73-year-old female with a history of hypertension and migraines presented to the ER with nausea, headache, and photophobia. She underwent CTA which showed a small right ICA aneurysm with no other acute abnormalities. She was treated and released but returned to the ER the next day with worsening symptoms. LP was unremarkable. [...]

Case Presentation: A 24-year-old male with a six-year history of systemic lupus erythematosus (SLE) presented to the emergency department with acute, severe left-sided abdominal pain accompanied by nausea and vomiting. His medical history included lupus nephritis, but his disease had been poorly managed due to noncompliance and inadequate follow-up. He denied previous similar episodes.On physical [...]

Case Presentation: A 43-year female with history of gastric adenocarcinoma and Krukenberg tumor, a metastatic disease to the ovaries composed of mucin-rich signet-ring cells, status post left salpingo-oophorectomy and chemotherapy with FOLFOX [leucovorin calcium (folinic acid), fluorouracil, and oxaliplatin] and Opdivo (Nivolumab) presented due to symptoms of dysuria and generalized pain. She was febrile and [...]

Case Presentation: 75-year-old female with a past medical history of triple negative breast cancer, Stage IIB, undergoing adjuvant radiation therapy, on cycle 3 of pembrolizumab, presented with fatigue and myalgia. On Day 1, she was found to have hyponatremia with a sodium level of 125 mmol/L, urine osmolality of 227 mOsm/kg, and urine sodium of [...]

Case Presentation: A 75-year-old female with a history of Crohn’s disease with known sigmoid colon stricture presented to the Emergency Department with severe abdominal pain; CT abdomen pelvis without contrast revealed pneumoperitoneum, ascites, and a likely perforated colon. She was emergently taken to the OR and subsequently underwent exploratory laparotomy with rectosigmoid colon resection, end [...]