Case Presentation: A 53-year-old gentleman with metastatic adrenocortical carcinoma with liver and lung metastases, was recently started on pazopanib, a non-specific tyrosine kinase inhibitor. He was brought to the hospital by family for increasing confusion and decreased oral intake. He was hemodynamically stable and afebrile on presentation. Initial labs were significant for low platelet count […]

Case Presentation: An 18 year old man presented to a California hospital emergency department with six weeks of right lower back pain and one week of pain and swelling in the skin over the right mid‐back. This area, thought to represent an abscess, was opened by I & D, and the patient was then prescribed […]

Case Presentation: 2A 19 year old Bulgarian G2 P1 at 35 weeks by last menstrual period confirmed by ultrasound was found to have a platelet count of 40,000/µL during an admission for pyelonephritis. Past medical history was significant only for idiopathic thrombocytopenic purpura (ITP) diagnosed at age 12. She was followed by an oncologist at […]

Case Presentation: 74-year-old male with history of NASH cirrhosis with Grade I esophageal variceal bleeding history, SDH s/p burr hole drainage with course complicated by seizures on Keppra and Vimpat, type 2 diabetes mellitus, and coronary artery disease status post 1 drug eluting stent who presented with worsening confusion, fatigue and difficulty walking x 3-4 […]

Case Presentation: A 57 year old female presented to the ER with complaints of worsening dyspnea for three weeks. Immediate arterial blood gas revealed: pH 7.26 PO2 79.5 PCO2 55 HCO3 30.5 with Sa02 87% on 6L O2. There was a massive fat pad around her neck (image 1). CTA performed did not show any pulmonary emboli. Her past medical […]

Case Presentation: A 76 year old male with a history of hypertension and hyperlipidemia presented with acute onset ascending weakness, perioral tingling, and loss of temperature sensation. The patient’s profound weakness progressed over the course of a few days, with subsequent diplopia, hallucinations, and confusion. He received the influenza vaccine a few weeks prior, and […]

Case Presentation: A 71-year old female with known stage 3-colon cancer post resection, presented to our neighboring hospital with intermittent pleuritic chest pain radiating to her back. She was started on chemotherapy with 5-fluorouracil (5-FU) three days before presentation and did not have any previous history of coronary artery disease (CAD). She was noted to […]

Case Presentation: A 67 year old female patient with diffuse large B-cell Lymphoma with extensive nodal disease involving the lower thorax, abdomen, pelvis and central nervous system (CNS) presented with generalized weakness, acute confusion and fevers. Her recent treatment history included systemic chemotherapy with dose adjusted etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, rituximab (DA-EPOCH-R) and intrathecal […]

Case Presentation: 36-year-old female is admitted to our hospital with acute-onset chest pain and found to have bilateral segmental pulmonary embolism.  Her medical history was pertinent for juvenile idiopathic arthritis diagnosed at age of 15. Despite being on chronic steroids and rituximab for maintenance therapy, she had been having intermittent fever for the past two […]

Case Presentation: A 23 year-old woman presented with blurry vision and difficulty walking for two weeks. Her family also reported two weeks of progressive memory changes and a 52-pound weight loss over four months. One month prior to presentation, while pregnant at 18 weeks gestation, she was admitted with three months of vomiting and five […]