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 62-year-old female with a history of polycythemia vera presented to urgent care with swelling, redness, and pain over her right foot and ankle. She denied any trauma or insect bites. She was diagnosed with cellulitis and treated with intravenous Ceftriaxone for 3 days with minimal improvement. She continued therapy with oral Cefpodoxime, [...]

Case Presentation: A 29-year-old woman presented to the emergency department for a 5-day history of persistent fever, sore throat, diffuse myalgias, and epigastric abdominal pain. The patient was recently diagnosed and treated for pelvic inflammatory disease after unprotected intercourse with a new sexual partner. On examination, she was tachycardic, hypotensive, afebrile and was noted to [...]

Case Presentation: A 64 yr old gentleman presented to the emergency department of our hospital with abdominal pain and hematuria. Initial laboratory evaluation revealed unremarkable metabolic profile and mild anemia (Hgb -9.3 g/dl). Urinalysis was full of RBC’s with negative culture. CT abdomen revealed bilateral hydroureteronephrosis (HDUN) with a bladder mass (Fig I). Cystoscopy revealed [...]