Case Presentation: A 64 year old man with a history of membranous nephropathy on tacrolimus and recent cerebral arteriovenous malformation (AVM) repair, with stent placement seven months prior, presented to the emergency room with one day of progressive lethargy, frontal headache, photophobia, and confusion with subjective fevers and nausea.His vitals on presentation were significant for [...]

Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left periorbital purpura. He was a 25 pack-year current smoker with a past medical history including type 2 diabetes mellitus, hypothyroidism, [...]

Case Presentation: Bone marrow sarcoidosis along renal involvement is extremely rare and diagnosis can be a challenge. Here we report a rare occurrence of sarcoidosis presenting as anemia and Acute Kidney Injury (AKI) without pulmonary involvement. Case Report A 27-year-old female was admitted to hospital with fatigue, abdominal pain, and generalized weakness. Past medical history was [...]

Case Presentation: An 84-year-old female presented to an outside hospital with one year of intermittent cramping abdominal pain with constipation requiring daily laxatives . Laxative use was associated with bloating and increased abdominal cramps. Her pain was unrelated to meals and she had a 20-pound weight loss. One month prior, she underwent gastrointestinal endoscopy, revealing [...]

Case Presentation: A 72-year-old female was referred to the emergency department after being found to be neutropenic with an absolute neutrophil count (ANC) of 165/mm^3 on outpatient laboratory analysis. She had been admitted one month earlier for septic arthritis of the left knee and was discharged on ceftriaxone 2g daily via peripheral indwelling catheter. Her [...]

Case Presentation: 54-year-old female with history of anemia and fibroids presented with progressive dyspnea, generalized weakness, weight loss, and worsening abdominal pain and distention. Four months prior, patient presented similarly and was diagnosed with peritoneal carcinomatosis with an unclear primary. A positive Quantiferon TB was also noted on that admission. She emigrated from Jamaica in [...]

Case Presentation: We present a case of a 27-year-old male with no significant past medical history who presented with a three week history of fever, sore throat, persistent non-productive cough, arthralgia, myalgia, as well as a diffuse body rash.A month prior to this presentation, he had seen his primary provider for a lump that he [...]

Case Presentation: We present a case of a 70 year old diet controlled hypertensive female, a New York State trained and licensed scuba diver, who presented to our emergency department with worsening headache after a rapid ascent from freshwater diving to approximately 60 feet. Patient was reportedly close to surfacing when she panicked and made [...]

Case Presentation: A 63-year-old man presents with a painful, erythematous lesion on his left thigh. He indicates that the lesion first appeared seven days ago and was followed by the onset fevers, chills, headaches, and body aches. The patient’s past medical history is notable for HIV on antiretroviral therapy with a recent CD4 count of [...]

Case Presentation: A 65-year-old male presented with a chief complaint of dyspnea beginning 3 months ago. Additionally, he endorsed 15-pound weight loss, fatigue, and decreased appetite during this time. Members of his family noticed yellowing in his eyes. He had no known past medical history. He described his diet as balanced, consisting of meat, eggs, [...]