Case Presentation: A 53-year-old gentleman with metastatic adrenocortical carcinoma with liver and lung metastases, was recently started on pazopanib, a non-specific tyrosine kinase inhibitor. He was brought to the hospital by family for increasing confusion and decreased oral intake. He was hemodynamically stable and afebrile on presentation. Initial labs were significant for low platelet count […]

Case Presentation: An 18 year old man presented to a California hospital emergency department with six weeks of right lower back pain and one week of pain and swelling in the skin over the right mid‐back. This area, thought to represent an abscess, was opened by I & D, and the patient was then prescribed […]

Case Presentation: A 62 year old man with a past medical history of decompensated alcoholic cirrhosis, esophageal varices (no previous episode of hemorrhage), previous H. Pylori treatment, peptic ulcer disease was admitted to the intensive care unit for bright red blood per rectum and found to be hypotensive with a hemoglobin of 7.0, hematocrit of 19.7. He was discharged […]

Case Presentation: A 20 year old woman with a history of astrocytoma of thoracic and lumbar spine status post resection with subsequent neurogenic bladder and bowel presented with acute encephalopathy following a viral illness. Initial workup showed acute kidney injury (creatinine 2.21 mg/dL), normal hemoglobin (12 g/dL), new thrombocytopenia (platelet 60 K/uL), and urinalysis suggestive […]