Case Presentation: A 60-year-old female with metastatic breast cancer presented with involuntary irregular forceful and painful contractions of facial muscles and dystonic posturing of her hands and feet lasting 5 to 30 minutes. Episodes sporadically occurred up to 20 times daily. MRI brain and spinal cord showed no evidence of metastatic disease or dural enhancement. […]

Case Presentation: We present a case of a 65 year old female with a recent diagnosis of small cell lung cancer (SCLC) who had completed four cycles of carboplatin and etoposide. She was subsequently initiated on maintenance program cell death ligands (PD-L1) inhibitor, atezolizumab every three weeks since January 2019. Seven months after initiation, she […]

Case Presentation: A 69 year old man with history of Stage IV Mantle cell lymphoma on maintenance Rituximab presented to the emergency department with acute confusion and expressive aphasia. Patient was at his behavioral and functional baseline prior to this episode and there had not been any recent illnesses, medication changes or inciting events. Initial […]

Case Presentation: A 76-year-old man with history of diabetes mellitus, atrial fibrillation, colonic adenoma, and recent self-reported bed bug infestation presents with one month of pruritic rash. On interview, he also endorses progressive edema, dyspnea on exertion, orthopnea, as well as 5 days of melena. Admission exam is notable for anasarca and diffuse, tense fluid-filled […]

Case Presentation: A 61-year-old woman with no pertinent past medical history presented to the hospital with two months of progressive numbness that began with her left foot and hands and eventually extended to her forearms. She developed clumsiness in her hands, gait unsteadiness, and had a 20-pound weight loss. A CT scan of the chest […]

Case Presentation: A 52 year-old woman with a two-month history of metastatic clear cell renal cell carcinoma presented to the emergency department from oncology clinic with one week of malaise and nausea. She also reported subacute onset of dizziness and fever. She received her second cycle of palliative immunotherapy with ipilimumab/nivolumab 14 days prior to […]