Case Presentation: 52-year-old female with history of Stage IIIA triple negative right sided breast cancer, seizure disorder, and s/p lumpectomy presents with ataxia, confusion, and dyskinesia over the past 2 weeks. The patient is chronically on phenytoin, ondansetron, paroxetine, and potassium supplements. She has been on phenytoin since her last seizure three years ago. She [...]

Case Presentation: Statin-induced necrotizing autoimmune myopathy (SINAM) is an immune mediated myopathy characterized by proximal muscle weakness and necrosis in the presence of autoantibodies to hydroxyl-methyl-glutaryl-coenzyme-A (HMG-CoA) reductase. It is a rare side effect of statin use that must be recognized quickly in order to prevent the development of irreversible muscle weakness. Most cases occur [...]

Case Presentation: A 69-year-old woman with a past medical history of metastatic ovarian cancer receiving treatment with crizotinib for 4 weeks presented to the hospital with weakness, lightheadedness, and hypotension. She denied any abdominal pain, nausea, vomiting, diarrhea, dysuria, or acetaminophen use. Physical exam revealed a blood pressure of 91/46, temperature 36.4 C, heart rate [...]

Case Presentation: A 66 year old female with history of Multiple Sclerosis and Sjogren’s syndrome presented with fever, hypotension and abdominal pain and was admitted for severe urosepsis secondary to a urinary tract infection. On imaging, she was found to have hydronephrosis with an obstructing distal right ureteral calculus and underwent a cytoscopy with ureteral [...]

Case Presentation: A 36-year-old Kenyan female, who immigrated to the United States 18 months ago, with no significant past medical history presented to our hospital with worsening occipital headaches. 6 months prior, she had a CT scan and MRI of the brain that revealed a stable right-sided cerebellar mass. Now, she endorsed a recent history [...]

Case Presentation: Introduction: In a hospital medicine service, how often do we come across the conundrum of a high risk bleeder who has a high risk for clot? This is one of the more common clinical scenarios that plague us as providers. A double edged sword, we talk about the dire consequences on either side [...]

Case Presentation: An 82 year-old male with atrial fibrillation, hypertension, and Type 2 Diabetes Mellitus presented with hiccups for five days. He also endorsed non-productive cough for weeks, chills, dysuria, and dark urine, for which he had taken ciprofloxacin. History was also notable for a previous episode of intractable hiccups attributed to pneumonia. Family history [...]

Case Presentation: A 63 year-old gentleman had a history of ischemic cardiomyopathy treated with Orthotopic Heart Transplant (OHT), on tacrolimus & prednisone; cutaneous Kaposi Sarcoma (KS); & negative pre-transplant Human Herpesvirus 8 (HHV8) serology. He presented 5 months after OHT with progressive dyspnea on exertion, orthopnea & bilateral lower extremities swelling since 1 week. On [...]

Case Presentation: A 62-year-old female with a history of polycythemia vera presented to urgent care with swelling, redness, and pain over her right foot and ankle. She denied any trauma or insect bites. She was diagnosed with cellulitis and treated with intravenous Ceftriaxone for 3 days with minimal improvement. She continued therapy with oral Cefpodoxime, [...]

Case Presentation: Case presentation:A 56 year-old caucasian man with no significant past medical history presented to our center with acute left upper quadrant abdominal pain. CT angiography of the thorax was performed to rule-out pulmonary embolism which showed thickening and enhancement of the splenic and hepatic arteries without aneurysmal dilatation. To evaluate this further, a [...]