Case Presentation: A 12-year-old female presented to the ER with a 1-week history of painful swelling of her right upper back not alleviated by NSAIDs or warm packs. She denied a history of recent trauma or fever. She has a history of surgical removal of a cranial myofibroma at 5 months of age and persistent [...]

Case Presentation: An 81-year-old woman with a history of hypertrophic cardiomyopathy (HCM) and prior gastrointestinal (GI) bleeding of unknown origin in 2017 presented with lightheadedness and anemia after undergoing an ERCP the day before. She had multiple episodes of maroon-colored stool and melena while in the ED and was transfused one unit of packed red [...]

Case Presentation: Fibro-muscular dysplasia is a segmental, non-atherosclerotic, non-inflammatory vascular disease of unknown etiology usually found in small and medium-sized arteries. Renal arteries (60–75%) are most commonly involved, followed by the cervico-cranial arteries (25–30%). FMD of cervico-cranial arteries in absence of renal artery involvement is much rarer. We present a case of symptomatic fibro-muscular dysplasia [...]

Case Presentation: An 84-year-old woman with a history of hypertension and aortic stenosis (AS) presented with progressive dyspnea on exertion and melanotic stools for one week. The patient was admitted twice recently for similar reasons. Physical exam was remarkable for pallor and a grade 4/5 systolic murmur at the cardiac base with radiation to the [...]

Case Presentation: Ghosal hematodiaphyseal dysplasia (GHDD) is a rare autosomal recessive disorder presenting with myelophthisic anemia and distinctive bony changes. TBXAS1 gene encodes Thromboxane A synthase. In GHDD, dysregulation of TBXAS1 occurs and this increases prostaglandin synthesis and causes direct bone marrow injury. Here we report, a 31-year-old Southeast Asian female presented with bilateral knee [...]

Case Presentation: A 7 year-old with hypohidrotic ectodermal dysplasia (ED) and recurrent sinusitis was admitted with diplopia, headaches, and fevers. In the preceding 2 months, he had multiple episodes of fever, nasal impetigo, and positive group A strep (GAS) throat swabs without pharyngitis. He was treated twice with azithromycin due to allergies to amoxicillin, cephalosporins, [...]

Case Presentation: A 75-year-old male with a history of gastrointestinal bleeding (GIB) due to angiodysplasia, aortic stenosis (AS) status post TAVR, moderate-severe mitral regurgitation (MR), CKD, GERD, and atrial fibrillation not on anticoagulation presented due to lightheadedness for 1 day when standing up, and fatigue for a few weeks. He also reported dark brown stools [...]