Case Presentation: An 80-year-old gentleman with a past medical history of type 2 diabetes mellitus and stage III chronic kidney disease (baseline creatinine 1.2-1.4 mg/dL) presented to the emergency department with generalized weakness, falls, unintentional weight loss, and constipation. Labs were significant for hypercalcemia (13.2 mg/dL), elevated creatinine (1.96 mg/dL), suppressed intact PTH (10 pg/mL), [...]

Background: Hematopoietic stem cell transplantation (HSCT) can be a life-saving and curative therapy in hematological malignancies. Pre-transplant evaluation for HSCT is a multidisciplinary process that can be complicated, time-consuming, and expensive for patients to navigate. The process requires coordination between several medical subspecialties including pulmonary, cardiology, and mental health, in addition to social workers and [...]

Background: Despite advances in pharmacologic care for side effects of Hematopoietic stem cell transplant, patients often suffer from long hospitalizations, multiple side effects including fatigue, insomnia, nausea, anxiety, and poor sleep. Non-pharmacologic treatments for side effects of therapy are attractive adjuncts due to a low side effect profile. Purpose: To develop, implement and evaluate a [...]

Case Presentation: A 75-year-old male with a history of type 2 diabetes mellitus, atrial fibrillation and hypertension presents to the hospital for evaluation of generalized weakness. He was found to have significant anemia with hemoglobin of 6.5 g/dL. He has had multiple admissions for anemia, and in the last year has required over twenty blood [...]

Case Presentation: Our patient is a 42-year-old Hispanic female with a past medical history of hypothyroidism, iron deficiency anemia, and onychomycosis. She presented with complaint of generalized bruising all over her body for last 2 days. The patient reported that she was in her usual state of health except that she was started on Terbinafine [...]

Case Presentation: Bone marrow sarcoidosis along renal involvement is extremely rare and diagnosis can be a challenge. Here we report a rare occurrence of sarcoidosis presenting as anemia and Acute Kidney Injury (AKI) without pulmonary involvement. Case Report A 27-year-old female was admitted to hospital with fatigue, abdominal pain, and generalized weakness. Past medical history was [...]

Case Presentation: We present a 69-year-old man with past medical history of well-controlled type 2 diabetes and multiple myeloma status-post chemotherapy (daratumumab, lenalidomide, bortezomib, melphalan) and subsequent bone marrow transplant (BMT) who presented with subacute progressive bilateral numbness and weakness in his upper and lower extremities and was found to have acute inflammatory demyelinating polyneuropathy.His [...]

Case Presentation: A 20-year-old man with untreated HIV was admitted due to severe thrombocytopenia. He reported diarrhea, episodes of epistaxis and hemoptysis, night sweats and weight loss for past 3 months. Physical exam was significant for scattered, brown papules and plaques on all extremities. CD4 count was > 400 cells/mm3. CT scan of chest showed [...]

Case Presentation: A 75-year-old man with recurrent well-differentiated liposarcoma on Palbociclib s/p multiple tumor resections and recent cryoablation of a right retrocaval lesion 6 weeks prior, presented with 5 weeks of worsening right flank pain, decreased appetite, and 25-pound unintentional weight loss. He was afebrile with normal vitals. He had petechiae on his palate. Labs [...]

Case Presentation: A 32-year old female with complicated past medical history of intravenous drug use, mitral valve endocarditis status/post repair, and recent diagnosis of Immune thrombocytopenia (ITP) was transferred from another hospital for management of severe thrombocytopenia refractory to Intravenous Immunoglobulin (IVIG) and steroids. She had initially presented with intermittent high-grade fevers and fatigue without [...]