Case Presentation: A 45-year-old woman with a history of ER-/PR-/Her2+ breast cancer previously in remission, recently diagnosed with recurrent metastatic breast cancer pathologically and on imaging, presented to the hospital with multiple days of dyspnea and dry cough. Vitals were remarkable for hypoxia and tachycardia. Electrocardiogram showed sinus tachycardia without ischemic changes. Troponin and B-type […]

Case Presentation: Angioedema is a potentially life threatening disorder that can present with airway involvement. Angioedema can be caused by histamine release but a subset of cases are mediated by bradykinin and do not respond to antihistamines. Recognizing this form of angioedema can improve outcomes for patients as treatments are available for acute management and […]

Case Presentation: A 48-year-old Columbian woman presented with 5 weeks of malaise, epistaxis, and hemoptysis. Physical exam was relevant for fever, conjunctival injection, hoarseness, coarse breath sounds, tachycardia, mononeuritis, trace lower extremity edema, and no stigmata of thrombotic microangiopathy (TMA). Labs were significant for a creatinine of 2.8, leukocytosis, thrombocytosis of 992×103, and microscopic hematuria. […]

Case Presentation: A 52-year-old man with past medical history of GERD and Gilbert’s syndrome presented with acute onset abdominal pain for 1 day. He had sudden onset epigastric pain, radiating into his left upper quadrant and his left lower flank.  Symptoms were constant since the first appearance. He reported nausea and reduced oral intake but without emesis and denied fever, […]