Case Presentation: A 16 year old female with a history of bipolar disorder presented with worsening fatigue and acute on chronic menorrhagia. Over the past 4 to 6 weeks, her periods were regular, but with heavy flow lasting 7 to 10 days at a time. Vital signs were stable at presentation, except for mild tachycardia […]

Case Presentation: A 48-year-old woman presented with a rapidly progressive brown tumor of the right anterior aspect of her hard palate. She had end stage renal disease for decades and secondary hyperparathyroidism for 16 years, which progressed to tertiary hyperparathyroidism within the past year. Two months prior to referral, she first noticed a lesion in […]

Case Presentation: 46 year old male with HTN presented to our facility with frequency, difficulty urinating and dribbling. Imaging revealed urinary retention, multiple 1mm non-obstructing renal calculi, lytic lesions in the axial skeleton, and numerous cysts within the kidneys, compatible with long standing kidney disease. Despite relief of obstruction via bladder catheterization, minimal renal improvement […]

Case Presentation: A 61‐year‐old female nonsmoker was noted to have small nodular opacities in the right lung on a routine chest roentgenogram (CXR). Subsequently, a chest computerized tomography (CT) revealed multiple nodules with primarily upper zone involvement. She denied hemoptysis, fevers, chills, cough, chest pain, dyspnea, malaise, or weight loss. Routine blood work including a […]