Case Presentation: Vitamin B12 (B12) deficiency is a commonly encountered clinical condition that frequently presents with either macrocytic anemia or neurological symptoms. The objective of this report is to describe a rare case of severe B12 deficiency presenting with hemolytic anemia and pancytopenia Discussion: A 27 year old male with no contributory medical history presented […]

Case Presentation: An 80-year-old female with a history of atrial fibrillation on warfarin, type 2 diabetes mellitus, vitamin D deficiency, and CKD stage III presented as a transfer for further management of a worsening left lower extremity ulceration. Onset was 2 weeks prior without any concordant symptoms of infection and was initially evaluated by her […]

Case Presentation: A 28-year-old female with a known history of seropositive rheumatoid arthritis presents with a non-healing ulcer on her right ankle. She received local wound care and antibiotics for three months prior to this admission. She also complained of increasing pain and stiffness in the small joints of hands and feet as well as […]

Case Presentation: A 67 year-old-man with a history of hepatitis C cirrhosis and a recent diagnosis of hepatocellular carcinoma (HCC) presented with six months of worsening dyspnea on exertion and one month of progressive typical angina with physical activity. Initial physical exam was notable for tachycardia, jugular venous distention, a right-ventricular heave with an S3, […]