Case Presentation: An 80-year-old man with prostate cancer and radical prostatectomy with an indwelling Foley catheter presented from his nursing home with three days of hematuria and a hemoglobin of 5.2 mg/dL (baseline 7-9 mg/dL). Initial vital signs were normal. Exam was significant for pink-tinged urine, copious melena, and no abdominal pain. A repeat hemoglobin […]

Case Presentation: A 79-year-old man with renal cell carcinoma metastatic to liver, lung, and spleen s/p splenectomy presented with altered mental status and hypoxic respiratory failure. Initial vitals were T 101°F, HR 110, BP 70/40, RR 25, 80% O2saturation on non-rebreather mask. On physical exam, the patient was obtunded and tachypneic with coarse bilateral breath […]