Case Presentation: The patient is 67-year-old man with prior metastatic renal cell carcinoma (status post right nephrectomy), on long term pazopanib therapy, who presented with dyspnea and pleurisy. He was found to be in hypoxemic respiratory distress out of proportion to the mild pulmonary vascular congestion seen on his initial chest x-ray (CXR). He improved [...]

Case Presentation: A 51 year-old male with paranoid schizophrenia, hypertension and type 2 diabetes mellitus was admitted to an inpatient psychiatric hospital for decompensated schizophrenia in the setting of medication nonadherence. Treatment included initiation and up-titration of clozapine. Within three weeks, he developed generalized abdominal pain, non-bilious non-bloody emesis and diarrhea. Exam was notable for [...]

Case Presentation: KW is a 64 year old female with chronic obstructive pulmonary disease and hypertension who presented with progressive dyspnea in the setting of cardiac tamponade, but with persistent hypoxic respiratory failure despite pericardiocentesis. One week after initial presentation, a test returned positive for p-ANCA with anti-myeloperoxidase (anti-MPO) by immunofluorescence and ELISA. Lupus anticoagulant [...]