Case Presentation: 47-year-old male with past medical history of fibromyalgia, hypertension, and mild asthma presented with shortness of breath during a double red cell donation (DRCD). DRCD is a procedure where two packs of whole blood are taken from a donor, and plasma is separated from them, this plasma is then transfused back to the […]

Case Presentation: A 34 year old male presented with severe, progressive lower back pain over two years. He described the pain as sharp, 8/10 pain, radiating to the right buttock and thigh, unrelieved by over‐the‐counter pain medication. The patient complained of intermittent numbness, tingling, and weakness of the right lower extremity. A thorough neurologic exam […]

Case Presentation: A 17 year old female presented with 4 days of worsening epigastric pain, persistent bilious emesis, one episode of diarrhea, anorexia and fever for two days. Initial examination revealed an ill appearing, tachycardic patient who had diffuse generalized abdominal tenderness with guarding and decreased bowel sounds. Labs revealed normal complete blood count, urinalysis […]

Case Presentation: Radiation associated cardiac disease (RACD) is an important adverse effect which may not present until years to decades following therapy. Presentations include arrhythmias, acute coronary syndromes, heart failure and valvular pathologies, as seen in this presentation. A 50-year-old female with past medical history of breast cancer treated with chemo-radiation eight years prior presented […]

Case Presentation: A 58-year-old male presented to the hospital with several days of fatigue and shortness of breath. His vitals were initially stable, and labs showed a hemoglobin of 4.2 (normal 13.5—17.5), white blood cell count WBC 20.1 (4.5—11.0), and platelet count 43 (160—420), BNP 617 (0—900 pg/ml). He received one unit of packed red […]

Case Presentation: A 65 year old Caucasian male with a history of B cell lymphoma on dual anti-checkpoint inhibitor therapy with Pembrolizumab (anti-PD1 antibodies) and IDO(indolamine 2,3-dioxygenase) presented with complaints of left side facial droop, slurred speech and hearing loss. Initial MRI obtained prior to admission was unremarkable but given the progression of the symptoms […]