Case Presentation: A 22 year-old G1P1000 pregnant woman at 24 weeks presented with hypertensive urgency and newly diagnosed intrauterine growth restriction in the setting of pre-eclampsia. On admission her physical exam and laboratory data were unremarkable. The patient was admitted to maternal fetal medicine for closer fetal monitoring. On hospital day (HD) 9 she began [...]

Case Presentation: A 54 year-old female presented to the ED with five days of fatigue, nausea, vomiting, and abdominal pain, increasing confusion, and somnolence after a recent viral illness. On physical exam, she was noted to have large, fixed masses in her breasts with bulky axillary lymphadenopathy. Upon further questioning, the patient revealed that she [...]

Case Presentation: A 69 year-old male with widely metastatic melanoma presenting seven weeks into his treatment with ipilimumab and nivolumab with five days of progressive lightheadedness, headache, nausea, non-bloody emesis, and generalized malaise. The patient had witnessed syncope in the clinic and was sent to the emergency room where he was febrile to 100.8 and [...]

Case Presentation: 42 year old male presented to the hospital with non-exertional left-sided chest pain that was radiating to his left jaw. His past medical history was significant for gastro-esophageal reflux disease and generalized anxiety disorder. He had a one year history of palpitations, headache, and sweating associated with minimal blood pressure fluctuations. These episodes [...]

Case Presentation: A 33-year-old woman with metastatic breast cancer and recent subtotal resection of a suprasellar brain metastasis presented with subacute fatigue and confusion a month after her surgery. She was oriented only to self, normotensive, with an exam notable only for mild left sided weakness, unchanged from her post-operative discharge. Admission laboratory data showed [...]