Introduction: Anaplastic thyroid cancer (ATC) is a relatively rare tumor of the thyroid follicular epithelium. It comprises less than ten percent of thyroid malignancies with an incidence of one to two per million persons. This poorly differentiated cancer coexists with or arises from other more differentiated thyroid cancers (DTC). It has a very rapid course […]

Case Presentation: 41 years old Hispanic gentleman with no significant past medical history who presented to the hospital for difficulty walking and diarrhea.Over the last four years, he has had watery non-bloody diarrhea multiple times daily. He reported one bloody bowel movement a week before his presentation. He had lost a significant amount of weight […]

Case Presentation: A 62 year old man with new diagnoses of asthma and GERD presented with an absolute eosinophil count of 21,000 cells/μL and 2 weeks of worsening dyspnea, cough, and dysphagia. His outpatient medications included diltiazem, aspirin, and recurrent short courses of oral prednisone for suspected asthma exacerbations. Admission vitals were notable for an […]

Case Presentation: This is the case of a 44-year-old Hispanic male with a history of polysubstance use (alcohol, marijuana and cocaine) and vitamin B12 deficiency presented to the emergency department with lower limb weakness, fasciculations, spasms, paresthesia, ataxia, left-sided blurry vision, emesis and intractable hiccups for several days. He initially symptoms started in September 2018 […]

Case Presentation: A 43-year-old African-American female with a history of multiple sclerosis complicated by paraplegia, neurogenic bladder, and seizures presented to the hospital with a syncopal episode and was found to have a hemoglobin of 2.9 (12.0 to 16.0 gm/dL) with red blood cell count RBC 0.96 (4.00 – 5.20×10^6/uL), lactate dehydrogenase 639 (

Case Presentation: A 24 year-old man presented with one day of mid-epigastric abdominal pain with radiation to his back. He reported an episode of binge drinking the night before. On admission, pulse was 107, blood pressure 141/73, respiratory rate 21, and oxygen saturation 100% on room air. He was fully alert and oriented, and had […]

Case Presentation: A 37-year old male with PMH of HIV on HAART presented with episodes of seizure, syncope and altered mental status. Vital signs and physical examination were unremarkable. Laboratory results revealed sodium level 113, serum osmolarity 243, urine osmolarity 429 and urine sodium 113. Lab findings along with patient appearing euvolemic on exam suggested […]

Case Presentation: A 69 year old male presented with one week history of worsening delusional behavior and encephalopathy. His medical history included hepatitis C (in remission), hypertension, hyperlipidemia, and polysubstance abuse (cocaine, alcohol). Initial CT head revealed a hypodensity involving right temporal, parietal, and occipital lobes suggestive of acute infarction. Subsequent MRI brain revealed T2 […]