Case Presentation: A 59‐years‐old female presented with progressive muscle weakness of arms and legs, together with parasthesia in both hands and feet for one‐month duration. Her medical history was remarkable for depression, hypertension, and gastro esophageal reflux. Physical examination on admission revealed a blood pressure of 156/86‐mm Hg and Neurological examination showed absent deep tendon […]

Case Presentation: A 59-year-old woman with a history of recurrent hospital admissions over several years for neutropenic fever who presented for generalized body weakness and fever of 102F for one day. On presentation the patient had a temperature of 102.9F, HR 106, BP 128/96. Physical exam was notable for tender cervical lymphadenopathy and pharyngeal erythema. […]

Case Presentation: An 80-year-old man with prostate cancer and radical prostatectomy with an indwelling Foley catheter presented from his nursing home with three days of hematuria and a hemoglobin of 5.2 mg/dL (baseline 7-9 mg/dL). Initial vital signs were normal. Exam was significant for pink-tinged urine, copious melena, and no abdominal pain. A repeat hemoglobin […]

Case Presentation: A 79-year-old man with renal cell carcinoma metastatic to liver, lung, and spleen s/p splenectomy presented with altered mental status and hypoxic respiratory failure. Initial vitals were T 101°F, HR 110, BP 70/40, RR 25, 80% O2saturation on non-rebreather mask. On physical exam, the patient was obtunded and tachypneic with coarse bilateral breath […]