Background: Primary Metastatic penile cancer (PMPC) is a rare condition, accounts for less than 1 percent of all men cancers in the United States. This review aims to investigate the clinical characteristics, treatment, and outcomes of Advanced-stage PMPC. Methods: PubMed, Medline, Scopus, and ScienceDirect databases were reviewed for the published case reports on “primary penile [...]

Case Presentation: A 76-year-old man with bladder cancer presented with severe back pain and radiculopathy after receiving treatment with a transurethral resection and subsequent intravesical BCG therapy. His lumbar MRI showed degenerative and morphological changes suggestive of an infection (Figure 1). He was treated with L1-L5 laminectomies and foraminotomies. 3 weeks later, repeat imaging showed [...]

Case Presentation: A 45 year-old Cambodian female with no past medical history presented to the clinic with a mild cough. Her medical history was notable for never smoking, occasional alcohol use, and no recreational drug use. She had no known occupational exposures and no family history of malignancy. Initial treatment for gastroesophageal reflux disease and [...]

Case Presentation: A previously healthy 54-year-old African American woman with a history of chronic constipation and tobacco use disorder presented to the emergency department with a 3-day history of intermittent left lower quadrant (LLQ) cramping abdominal pain which radiated to her back and an associated 5-day history of fatigue. She had no prior colonoscopy. On [...]

Case Presentation: A 52-year-old destitute G6P6006 woman with an advanced stage Inflammatory breast cancer (IBC) presented to the OB/GYN for four-month right breast pain and one-month skin changes. The examination was notable for a diffusely dense and hard to left palpation breast, peau d’orange, medial scarring similar to boils without drainage, absent nipple discharge, and [...]

Case Presentation: A 56-year-old man with a past medical history of hypertension, hyperlipidemia, polysubstance abuse, and perforated appendicitis presented to the emergency department for one-week right lower quadrant abdominal pain. Of note, two-years prior, the patient had one-day of similar pain associated with nausea and emesis. A computed tomography (CT) scan of the abdomen and [...]

Case Presentation: A 78 year old man with recurrent metastatic adenosquamous lung carcinoma (recently initiated pembrolizumab), CAD s/p CABG, HTN, DM2, and HLD, presented with 2 weeks of fatigue, myalgias, anorexia, and weakness acutely worsening in the prior 2 days. He had no fever, chills, chest pain, dyspnea, orthopnea, palpitations, or lower extremity edema. ED [...]

Case Presentation: A 70-year-old male with a past medical history of hypertension and diabetes was sent to the emergency room by primary care physician because of persistent hypokalemia while taking oral potassium supplements. Patient reported generalized weakness, low back pain, thirty-pound weight loss and poor appetite for a few months. He smokes one packet of [...]

Case Presentation: A 70 year male presented to the emergency department with complaints of worsening fatigue, abdominal distension, abdominal pain, dyspnea, and increased lower extremity edema. He had been diagnosed with pancreatic cancer 3 months ago and recently started on chemotherapy. An abdominal CT scan revealed massive ascites and multiple liver abscesses essentially replacing the [...]

Case Presentation: A 94-year-old woman with a history of atrial fibrillation (not on anticoagulation), coronary artery disease, and metastatic lung adenocarcinoma (on Osimertinib) presented following a syncopal episode, which was complicated by a left thigh hematoma. On admission, she was hemodynamically stable, although her bloodwork was concerning for disseminated intravascular coagulation (DIC) including a hemoglobin [...]