Case Presentation: A 78 y/o M with PMH of papillary thyroid CA, BPH, and primary myelofibrosis of the bone marrow (has JAK2 mutation, leukocytosis and thrombocytosis, has not received therapy to date) presented with 8 day history of early satiety, fatigue, and new increasing ascites. An inItial diagnostic paracentesis showed SAAG = 1.1, total protein [...]

Case Presentation: A 26 year old male with a prior history of asthma, DVT, and PE presented to the ER with severe, constant, pressure-like, left sided chest pain after smoking K2 the night before. The pain was associated with palpitations and shortness of breath. Initial vital signs demonstrated a heart rate of 104 bpm and a [...]

Case Presentation: A 54 year old woman with history of substance abuse(cocaine and recent synthetic marijuana use) presented to the emergency room with complaints of sudden onset, severe left upper and lower quadrant abdominal pain. Pain started at night waking her up from her sleep. Complete blood count showed microcytic anemia with hemoglobin of 8.4. [...]

Case Presentation: 59 year-old male with history of hypertension, presented with right arm weakness and slurred speech for 15 minutes. He reported feeling difficulty grabbing items while at the grocery store with his cousin and after starting to slur his words, EMS was called. Upon exam in the emergency department, he regained full strength in [...]