Background: Cancer screening guidelines based on age, biological sex, and degree of risk are intended to diagnose malignancies early and in the outpatient setting. Despite these efforts, malignancies are often diagnosed while patients are admitted to the hospital. These diagnoses are made either incidentally or after the onset of a clinical condition that necessitates an […]

Case Presentation: A 35‐year‐old Haitian woman with a history of untreated latent tuberculosis (TB) presented with progressive abdominal distention, fatigue, and weight loss. She denied fevers, chills, night sweats, or cough. She denied sick contacts or recent travel outside the United States. She denied taking medications or using alcohol. On exam, her abdomen was soft […]

Background: Choroidal melanoma, the most common primary intraocular malignancy in adults, is a dangerous cancer which can lead to blindness. Diagnosed at an average age of 65 & lacking identifiable environmental or genetic factors, melanoma of the eye can affect anyone. Commonly found on routine ophthalmological screening, patients are sent to quaternary hospitals for further […]

Case Presentation: A 25‐year‐old woman presented with 3 weeks of right upper quadrant abdominal pain. She described the pain as a “fullness” or “pulling” sensation. Over the past few days the pain had increased in intensity and became stabbing. She denied nausea, diarrhea, chest pain, dyspnea, or fever. The pain was not associated with food […]

Case Presentation: A 36-year-old Laotian female with a history of hypothyroidism presented with 3 days of worsening symmetrical proximal muscle weakness and anasarca. She was recently seen at another hospital and presented with one day of worsening throat swelling and diffuse anasarca. Over the next 2 months, she developed dysphagia requiring gastrostomy tube and was […]

Case Presentation: A 34 year old African American female presented to the ED after developing abdominal pain, repeated nausea and emesis of six hours duration. Of note, the patient had a thyroid nodule removed 10 years ago which made her anxious about recurrence. After researching homeopathic options of curing thyroid cancer, she purchased an Oleander […]

Case Presentation: A 10-year-old Hispanic girl with a history of UTIs presented to our ED with seven days of facial rash and dysuria. She had been taking cephalexin for an E. coli UTI as prescribed by her pediatrician. Review of systems was significant for lightheadedness, headache, photosensitivity, fatigue, tactile fevers, and palpitations. On physical examination, […]

Case Presentation: The patient is a previously healthy 23 year old African American female who presented to the hospital with sudden onset lethargy, abdominal pain and profound anemia. Imaging identified hemoperitoneum secondary to hemorrhagic ovarian cyst rupture and given her severe presentation she required salpingoophorectomy. In addition to bicytopenia with a hemoglobin of 4.8 and […]

Case Presentation: A 72 year old man underwent elective splenectomy for symptomatic splenomegaly at an outside hospital and developed postoperative splenic bed hemorrhage requiring percutaneous drainage. Pathology revealed extramedullary hematopoiesis and bone marrow biopsy showed evidence ofJAK-2 positive primary myelofibrosis. He was readmitted with hypoxic respiratory failure and transferred to our hospital for further care. […]

Case Presentation: A 61-year-old male presented with complaint of left arm swelling with left axillary lump, which had been worsening for two months. He reported of having a dark-colored left forearm skin lesion which he reportedly removed by himself 15 years ago without seeking medical care. Computed Tomography of chest revealed too numerous to count […]