Case Presentation: A 63-year-old man with a history intravenous heroin use disorder and chronic homelessness was readmitted for worsening right lower extremity pain secondary to recently diagnosed unprovoked bilateral deep vein thrombosis (DVT). He reported substernal chest pain without radiation and dyspnea but denied fevers, chills, weight loss or recent heroin use. His temperature was […]

Case Presentation: A 36 year‐old woman with history of asthma and hypertension presented with three weeks of rash, one week of gross hematuria, and acute onset dyspnea without hemoptysis or joint discomfort. She had been started on 60mg of prednisone without improvement as an outpatient for a possible vasculitis. Examination was notable for course crackles […]

Case Presentation: A 49-year-old man with metastatic pancreatic adenocarcinoma diagnosed three months ago and not yet on therapy presented to the emergency room with symptoms of nausea, vomiting, and abdominal pain for one day. Computed tomography of the abdomen and pelvis showed splenic infarcts, bilateral renal infarcts, and increased size of hepatic metastases. On the […]