Case Presentation: A 54-year-old never-smoker female with hypothyroidism and rheumatoid arthritis on etanercept presented with intermittent hemoptysis. Three days prior, she reported coughing ~100mL of frank blood and clots (Figure 1) over the course of 24 hours, with smaller volumes over the next two days (~50 mL total). She recounted a similar episode of hemoptysis [...]

Case Presentation: A 37-year-old woman with history of ulcerative colitis and focal nodular hyperplasia (FNH) of the liver presented with right upper quadrant (RUQ) abdominal pain. An extensive workup including endoscopic retrograde cholangiopancreatography (ERCP) eventually diagnosed primary sclerosing cholangitis (PSC).  However, review of systems was also significant for epistaxis.  Family history was significant for father [...]

Case Presentation: A 52 year old African American male with past medical history of hereditary hemorrhagic telangiectasia (HHT) on aminocaproic acid presents with epistaxis and hematochezia with a hemoglobin of 6.7 g/dL. Patient was diagnosed with HHT in his mid-30s when found to be profoundly anemic with reported hemoglobin of below 3 g/dL during incarceration. [...]

Case Presentation: 54 yo White Male with PMH of hereditary hemorrhagic telangiectasia (HHT) presented with right-sided focal neurological deficits, word finding difficulties, confusion and headache.  He was treated for a brain abscess with surgical resection and antibiotics X 1 month at an OSH attributed to recently sustained head trauma.  Follow up MRI 1 month later, [...]

Case Presentation: A 3-year-old male with past medical history of mild persistent asthma and allergic rhinitis presented with persistent hypoxia. He had a history of multiple prior hospitalizations for hypoxia, mainly in the setting of acute respiratory illness. At an outpatient cardiology visit, he was found to be hypoxic to 87%, though echocardiography was unrevealing [...]

Case Presentation: A 56 year-old female teacher presents with 1-week history of shortness of breath. She noted progressive shortness of breath on minimal exertion over the past week. She denied associated pedal edema, orthopnea, epistaxis or chest pain. She noted associated cough with white frothy sputum and subjective chills. She denied rashes, exposure to sick [...]