Case Presentation: A 73-year-old male presented to the ER with right-sided facial droop for 2 days. He had a recent history of multiple insect bites and had noticed a bull’s eye rash about 4 weeks back. He did not have any GI or GU symptoms. No history of recent surgery or trauma. His diet was […]

Case Presentation: A 53-year-old woman with a history of bioprosthetic aortic valve (AV) placement in 2014 presented with three weeks of exertional dyspnea and dark stools. On presentation stool guaiac was positive and her hemoglobin was 5.1 g/dl. She was transfused four units of blood and underwent EGD showing gastric and duodenal angiodysplasias (AD) but […]

Case Presentation: 33-year-old male with metastatic germ cell testicular cancer to the lungs initially presented with worsening headaches. Imaging showed significant disease progression with new intracranial metastases in the right parietal and occipital lobes. He underwent autologous stem cell transplant complicated by pancytopenia. Three days later developed sudden onset typical chest pain at rest associated […]