Case Presentation: A 46-year-old male from Nigeria with no medical history presented to the emergency department (ED) with 5 days of dark urine, decreased oral intake, weakness, and abdominal pain. On exam, the patient was tachycardic, jaundiced, and had normal oxygen saturation. Labs revealed a leukocytosis, acute kidney injury (AKI), and a precipitous drop in [...]

Case Presentation: A 21-year-old female with history of IgG immune deficiency requiring intravenous immunoglobulin transfusions from the age of 12-17 presented to our service with one-week complaint of dizziness and fatigue. At presentation, she reported dyspnea, chest pain, intermittent palpitations, and nausea. She had had a brief pre-syncopal episode and an episode of nausea and [...]

Case Presentation: A 66-year-old male with history of type 1 Von Willebrand disease, colonic polyps, and gastric ulcer from naproxen use due to osteoarthritis presented with a 3-week history of lethargy and fatigue with walking short distances. He denied melena or hematemesis but did report consistent ibuprofen use for his osteoarthritis over the past few [...]

Case Presentation: A 69-year-old male with hypertension, prostate cancer in remission, and recent diagnosis of lymphoma presented after experiencing a fall. Prior workup for abdominal pain, fever, night sweats, and weight loss revealed splenomegaly, anemia, and diffuse lymphadenopathy. Bone marrow biopsy demonstrated malignant lymphoma with prominent follicular helper T-cell component occupying 25-30% of the sampled [...]

Case Presentation: 85-year-old male with history of Myasthenia Gravis who presented with shortness of breath and back pain after a fall. Presenting vitals were as follows: heart rate of 80, respiratory rate of 20, afebrile and normotensive. Exam was negative for scleral icterus, jaundice, rashes, or petechia. Significant labs included Hgb 8.7 g/dL (baseline 13 [...]

Case Presentation: A 20-year-old female with history of primary membranous nephropathy, hypertension, iron deficiency anemia, preeclampsia, and intrauterine fetal demise presented to the hospital with weakness, 2-3 days of upper respiratory symptoms, dyspnea, nausea, vomiting, and diarrhea. Labs showed normocytic anemia with hemoglobin of 3.3 g/dL worsening to 1.9 g/dL pending blood transfusion and leukocytosis [...]

Case Presentation: A 37 year-old man presented with altered mental status and a headache after a motor vehicle collision where he was a restrained driver while intoxicated with alcohol. He had a known history of glucose-6-phosphate-dehydrogenase deficiency (G6PD). Exam was notable for superficial abrasions on bilateral upper and lower extremities, diffuse generalized abdominal tenderness to [...]

Case Presentation: A 38-year-old female with no significant PMH presented with diarrhea, chills, and hematuria. One week prior to admission, she developed profuse, watery, non-bloody diarrhea three hours after consuming raw oysters. The next day, she developed headache and chills. She presented to the ED four days prior to admission, treated with IVF, and discharged [...]

Case Presentation: A 84-year-old woman with a past medical history of HTN, DM2, CHF, and hypothyroidism presented to an offsite ED after falling on her buttock when rising from a kitchen chair. She had an uneventful course of COVID-19 four weeks prior. Over the last 2 weeks, she developed progressive weakness. Upon arrival at the [...]

Case Presentation: The patient is a 29-year-old female with the history of acute pancreatitis and gastric bypass surgery, who initially presented with lower extremity swelling in the setting of hypoalbuminemia and protein-calorie malnutrition. She was started on high calorie/protein diet and was discharged on furosemide. Three weeks after discharge, she noticed peri-oral rash, which extended [...]