Case Presentation: A 65-year-old woman with antiphospholipid syndrome (APLS), and history of multiple lower extremity deep vein thrombosis (DVT) and miscarriages, on warfarin presented with syncope, fall, and head-strike. She was found to have an acute subdural hematoma (SDH) in the interhemispheric fissure and a non-occlusive DVT in the left femoral vein. Initial labs showed [...]

Case Presentation: A 57-year old man was found down at home one day prior to admission. Three days prior, he experienced intermittent “stabbing” chest pain and dizziness. Past medical history was significant only for multiple sclerosis treated with Copaxone. On admission, he was afebrile, heart rate 113bpm, blood pressure 104/71 mmHg, respiratory rate 19 breaths [...]

Case Presentation: We present a case of a 62 year old woman with past medical history of HTN, CAD, bipolar disorder, osteoporosis and vertebral compression fractures, who presented to the ER 8 days after T6-T10 vertebroplasties, with pleuritic interscapular pain radiating toward the sternum. She had no dyspnea, palpitations, cough, hemoptysis. Had no tachycardia or [...]

Case Presentation: A 72-year-old female with chronic kidney disease and recently diagnosed IgG lambda monoclonal gammopathy presented to clinic with six months of progressive weakness and failure to thrive. She reported breathlessness after several steps, a 10-kilogram weight loss, frequent falls, lightheadedness, easy bruising, and dysphagia. There was concern for light chain (AL) amyloidosis, before [...]

Case Presentation: A 56-year-old man with elephantiasis nostras verrucosa (ENV) was admitted to the hospital for fevers due to sepsis from lower extremity cellulitis. On exam, he was febrile to 102.1°F with HR 98 and BP 103/65. Cardiopulmonary exam was unremarkable. Malodorous indurated 2cm-thick brown plaques, embedded with gray and yellow debris, covered his feet [...]

Case Presentation: 73-year-old male with past medical history of seizure disorder, non insulin dependent diabetes mellitus, hyperlipidemia presents for evaluation of pain and swelling of right lower extremity, found to have deep venous thrombosis involving multiple veins of right lower extremity, occlusive in nature. Past medical history significant for two similar episodes of VTE (venous [...]

Case Presentation: An 84-year-old woman with a medical history of asthma and hypertension presented with generalized weakness and poor oral intake. Initial vital signs showed heart rate of 108 beats/minute, blood pressure 146/77 mmHg, temperature of 105.5 F and respiratory rate of 15 breaths/minute. Admission labs showed a leukocytosis (78.56 K/uL cells) with blasts, thrombocytopenia [...]

Case Presentation: A 41-year male with prior history of hypogonadism presented 11-days after positive COVIDtest with shortness of breath and no prior Covid vaccination. On presentation, patient wastachypneic with breathing rate 32/minute and was observed to be in acute hypoxic respiratoryfailure with oxygen saturation <50%, arterial blood gases showing Ph-6.93, partial pressure ofoxygen-53mmHg, and carbon-dioxide-85mmHg. [...]

Case Presentation: A 36 y/o African American female with a history of hypertension, possible congenital right renal atrophy, and endometriosis, presented with a two-day history of severe left flank and abdominal pain similar to her prior endometriosis flares. She noted no personal or family history of thromboembolic disorders. On physical exam, vitals were significant for [...]

Case Presentation: A 66 year old female with a past medical history of hypertension (HTN), hyperlipidemia (HLD) and coronary artery disease (CAD) presented to the hospital for an elective three-vessel coronary artery bypass graft involving the left internal mammary artery to left anterior descending artery, saphenous vein graft (SVG) to the obtuse marginal artery, and [...]