Case Presentation: An 87 year old male with a history HFrEF 35%, BPH, Afib, seizure disorder. He had a recent fall and presented with A-fib with RVR. His creatinine at that time was found to be 5.6 (no baseline creatinine at that time). Renal and bladder ultrasound showed large intravesical mass consistent with bladder mass [...]

Case Presentation: A 65-year-old African American male with known comorbidities of Hypertension, coronary artery disease was brought to the hospital with a new-onset seizure. Upon presentation, vital signs were within normal limits. Physical examination noted left gaze preference, right hemiplegia, and aphasia. All labs including blood chemistries, complete blood counts, infectious workup, and urine drug [...]

Case Presentation: A 56-year-old man with history of hypertension on amlodipine, hydralazine, losartan, spironolactone, and torsemide, uncontrolled insulin dependent type 2 diabetes mellitus, chronic kidney disease (CKD) stage IIIb, and chronic lymphocytic leukemia (CLL) with extreme leukocytosis of 268,600/uL on admission presented to the hospital for progressive shortness of breath and was found to be [...]

Case Presentation: Hepatic carcinosarcoma (HCS) is an extremely rare kind of hepatic malignancy with elements of both carcinoma and sarcoma. Chronic lymphocytic leukemia (CLL), on the other hand, is the most common lymphoid malignancy in North America accounting for ~25% of leukemia cases in the United States. This is the first case report in medical [...]

Case Presentation: This patient is a 53-year-old male with type 1 diabetes, hyperlipidemia and hypertension who presented with a 5 week history of diffuse whole body edema and an unintentional weight gain of 10 kilograms. He was started on bumetanide, losartan and empagliflozin by his outpatient team with brief improvement but subsequently worsened. He presented [...]

Case Presentation: An 83-year-old man with coronary artery bypass graft, atrial fibrillation, pacemaker, and chronic lymphocytic lymphoma (CLL), presented with a week of dizziness, generalized weakness, blurred vision, word-finding difficulties, and confusion. Dysmetria and peripheral vision loss on the right were notable. No fever. Labs were unremarkable except for mild anemia, lymphocytic leukocytosis, and neutropenia. [...]

Case Presentation: Gastrointestinal (GI) manifestation of chronic lymphocytic leukemia (CLL) is very rare. This usually occurs after acute blastic transformation of CLL to diffuse large B-cell lymphoma called Richter transformation (RT). We report the first case in literature of anal ulceration caused by CLL without RT.A 67-year-old female with a history of partially treated CLL [...]