Case Presentation: A 57-year-old woman presented to the emergency department with confusion, generalized weakness, poor appetite, abdominal pain, depressed mood, and constipation for the past week. She states that she has auditory hallucinations and paranoia and thinks a man is going to kill her which caused her to stay at home. She did not have [...]

Case Presentation: A 20-year-old male presented with low back pain, lower extremity weakness, and bladder incontinence and was subsequently found to have cord compression due to lytic lesions found in his cervical, thoracic, lumbar, and sacral spine. The pathology from the sacral biopsy revealed ALK positive LBCL. The biopsy was positive for plasma cell markers [...]

Case Presentation: A 44-year-old African American female with a medical history of chronic heart failure with preserved ejection fraction (HFpEF) presented with a six month history of multiple hospitalizations for acute decompensated HFpEF and right upper quadrant pain. One month ago, she presented with an acute elevation of alkaline phosphatase (ALP) to greater than four [...]