Case Presentation: D.H. is a 16‐year‐old Hispanic female who presented as a referral from an outside hospital for pancytopenia and splenomegaly. The patient initially presented with abdominal pain to the emergency room. She was admitted and found to have a ruptured ovarian cyst, splenomegaly, leukopenia, anemia, and thrombocytopenia. She was then transferred to the inpatient […]

Background: Lumbar Punctures (LPs) are generally considered to be safe bedside procedures, but when bleeding complications arise they can be catastrophic with epidural hematomas risking spinal cord compression and paralysis if untreated. Our institution serves a large number of patients with hematologic malignancies requiring intrathecal chemotherapy, sometimes as frequently as twice weekly, who often have […]