Case Presentation: A 54-year-old woman presented with nausea, generalized weakness, fatigue, and progressive dyspnea following treatment for sinusitis. CBC revealed a leukocyte count of 135 K/µL with anemia and thrombocytopenia. She received 3 rounds of leukapheresis for hyperviscosity and started hydroxyurea 500 mg q6h. Repeat CBC showed a leukocyte count of 39.8 K/µL (80% blasts), [...]

Case Presentation: A 40-year-old female with morbid obesity, methamphetamine dependence, and tobacco use disorder presented with the one-day onset of diffuse and severe abdominal pain. A review of the systems was positive for nausea, vomiting, inability to tolerate food by mouth, constipation, and diaphoresis but she denied fever, diarrhea, or other related symptoms. Patient-reported using [...]

Case Presentation: Diabetic myonecrosis is a rare and under-recognized disorder observed in poorly controlled long-standing diabetes mellitus (1). Typical presentation includes acute pain and swelling of the affected muscle group in the absence of local injury due to spontaneous ischemic necrosis of the skeletal muscles. We present a case of a 48-year old female with [...]

Case Presentation: A 52-year-old Hispanic man with a medical history of hypertension, T2D with neuropathy, and hyperlipidemia without previous exposure to glucocorticoid presented to the emergency department (ED) with mild fever, headache, and shortness lasting three days. His diabetes had been well controlled with glipizide, metformin, and liraglutide, and his recent glycated hemoglobin was 7.2% [...]

Case Presentation: Our patient is a 15-year-old female, previously healthy, who presented with right facial swelling. She developed swelling of her right upper lip after rupturing a pimple located on her lip. Over the next two days, erythema developed, and the swelling progressed to include her right eye, cheek, both lips, and around her jaw [...]