Case Presentation: A 48-year-old male from North Carolina with a history of rheumatoid arthritis presented to the ED with complaints of black tarry melena, nausea, vomiting, and nose bleeds. The patient was found to have stomatitis and severe pancytopenia. He eventually admitted to not understanding his methotrexate dose and stated he accidentally took three times [...]

Case Presentation: A 75-year-old female presented to the emergency department with a history of multiple falls. Her physical exam was unremarkable. A computerized tomographic scan of the head and magnetic resonance imaging (MRI) with the contrast of brain showed frontoparietal mass with metastatic brain lesions. Right frontal craniotomy with tumor resection was done and biopsy [...]

Case Presentation: A 69-year-old lady with a history of Psoriatic Arthritis on Methotrexate (MTX) and CKD stage III was admitted to the hospital with mucositis and leukopenia. Sixteen days prior to the admission she was prescribed Trimethoprim-Sulfamethoxazole (Bactrim) for UTI. A week after that she presented to ED and was discharged with impression of Hand, [...]