Case Presentation: A 63-year-old Hispanic male with relapsed refractory IgD-kappa plasma cell myeloma on 5th line salvage chemotherapy and remote high-grade invasive papillary urothelial carcinoma / prostatic adenocarcinoma status post cystoprostatectomy three years prior was admitted to the hospital for evaluation of a fall and sepsis secondary to cellulitis. The patient reported that he noticed [...]

Case Presentation: We introduce you to a 57-year-old woman with a past medical history of one pack per day of smoking for 20 years, and a premature history of CAD in her father. The patient presented to the emergency department with severe, pleuritic chest pain that began 4 days prior to admission.  The patient described the pain as sudden [...]

Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated [...]

Case Presentation: A 60-year-old female with a history of tobacco use disorder, laryngeal cancer status post chemotherapy and radiation, hyperlipidemia, and hypertension presented with tongue pain. Ten days before her presentation, she developed a small painful blister on her tongue, which was associated with difficulty eating and drinking. She decided to come to the hospital [...]

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 [...]