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 […]

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 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: 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 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 […]

Case Presentation: A 76-year-old man with history of diabetes mellitus, atrial fibrillation, colonic adenoma, and recent self-reported bed bug infestation presents with one month of pruritic rash. On interview, he also endorses progressive edema, dyspnea on exertion, orthopnea, as well as 5 days of melena. Admission exam is notable for anasarca and diffuse, tense fluid-filled […]

Case Presentation: An 82 yo F with history of HTN, HLD, anemia, and atrial fibrillation presented to the ED with right-sided weakness and aphasia. She was subsequently found to have an acute left MCA stroke, which was treated with thrombectomy. She was not on anti-coagulation for her atrial fibrillation due to history of GI bleed […]

Case Presentation: A 22-year-old female with a past medical history of cholecystectomy and bipolar disorder presented with left upper quadrant spastic abdominal pain 9/10 in intensity, radiating to the epigastrium for the last 5 days, along with intermittent nausea, vomiting, and diarrhea. The patient described her bowel movements as a green ribbon-like consistency with no […]