Case Presentation: A 62-year-old man with a history of hypertension, hyperlipidemia, and melanoma presented to our tertiary care hospital from an outside institution with 3-4 weeks of rapidly progressive skin nodules, a 10 pound weight loss, and diffuse joint aches. The nodules were of varying sizes, first appearing along his clavicle and progressively spreading throughout [...]

Case Presentation: A 21-year-old male with no significant medical history presented with complaints of diplopia of three-week duration which resolved after treatment with steroids. After the initial encounter, patient presented with one week history of left sided facial droop indicative of facial nerve palsy. Extensive neurological work-up including lumbar puncture and imaging were unrevealing, which [...]

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 53-year-old male, post-allogeneic hematopoietic stem cell transplant (HSCT) for relapsed acute myeloid leukemia (AML) presented to an outside hospital with high fevers, frontal lobe headaches, and blood-tinged sinus drainage, two weeks after completing chemotherapy. Days later, the patient was transferred to our hospital for advanced care, reporting continued fevers (up to 38.6oC), [...]

Case Presentation: A 74 year old man with a history of hypertension and chronic hepatitis C infection presented to the hospital with a worsening pruritic rash on his palms and soles. The rash developed acutely one year prior and biopsy was suggestive of eczematous dermatitis. Symptoms persisted in spite of multiple treatments including topical and [...]

Case Presentation: 19 year old male who presented to Riverside Medical Center with acute onset, progressive bilateral lower extremity weakness and paresthesias, urinary retention and saddle anesthesia. Initial CBC significant for anemia and thrombocytopenia. Peripheral smear showed 67% circulating blasts with occasional Auer rods, which was suggestive of acute myeloid leukemia. Flow cytommetry showed expression [...]

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: Our 28-year-old female patient with a history of acute myeloid leukemia (AML) and allogeneic peripheral blood stem cell transplant presented to the Emergency Department (ED) for the evaluation of intermittent confusion and word-finding difficulty for one week. The patient’s vitals on admission were within normal limits. A physical examination was significant for diffuse [...]

Case Presentation: A 56-year-old male with type II diabetes presented to the hospital with 3 weeks of oral ulcers involving the left buccal region with spread to the palate and tongue. He also reported odynophagia, poor oral intake, and 40-lb weight loss. He had not responded to outpatient amoxicillin, fluconazole, and nystatin swish and swallow. [...]

Case Presentation: A 63-year-old female with a history of laryngeal cancer presented with upper abdominal pain, nausea, and fatigue. Labs showed a white blood cell count of 41.5 × 10^9/L, hemoglobin of 10.1 g/dL, platelet count of 162,000/µL, and absolute neutrophil count of 9.97 × 10^9/L, with basophilia (1.0 k/µL). Peripheral blood smear had circulating [...]