Case Presentation: A 51‐year‐old White female with a H/O untreated hepatitis C for eight years, membranous glumerolonephritis diagnosed two years ago and colon cancer with partial colectomy presented with generalized painful and palpable rash on her body. She also had a history of cocaine abuse but had quit one year ago. A 5×4 inch well‐defined […]

Case Presentation: A 74 year old female with history of atrial flutter on warfarin presented to the emergency department with altered mental status and bilateral leg pain. She was found to have a leukocytosis (WBC 14.7), pre-renal azotemia and an elevated INR of 8.2. Exam was notable for bilateral lower extremity ulcers. She was treated […]

Case Presentation: 44 year old male with no significant past medical history developed acute left visual loss that was found to be due to branch retinal artery occlusion in July,2012 and was associated with left sided hearing loss and facial numbness. At that time he had normal MRI, MRA, Carotid US and ECHO but was […]

Case Presentation: A 47-year-old female with ESRD, chronic hypotension, anemia of chronic disease, depression and anxiety presented with painful chronic non-healing bilateral lower extremity wounds. Her wounds started about 3 months prior as superficial hyperpigmented painful areas which had gradually become indurated and subsequently ulcerated. Her wounds were extremely painful, limiting her ability to move […]

Case Presentation: A 54 year‐old man with a history of multiple myeloma presented with ten weeks of nausea and vomiting with associated anorexia and a 50‐pound weight loss. His symptoms began five days after receiving an autologous stem‐cell transplant for treatment of his multiple myeloma. He had no history of prior gastrointestinal illnesses, denied diarrhea, […]

Case Presentation: A 60-year-old female presented to the emergency department with shortness of breath, worsening edema, and a tender, non-purulent, erythematous rash on her medial thighs bilaterally. Her medical history was significant for atrial fibrillation, heart failure with reduced ejection fraction, and chronic myelomonocytic leukemia. The patient had been recently discharged after an admission for […]

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 […]