Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a [...]

Case Presentation: A 62-year-old man with a history of hypertension, hyperlipidemia, and melanoma presented to our tertiary care hospital from an outside institution with 3-4 weeks of rapidly progressive skin nodules, a 10 pound weight loss, and diffuse joint aches. The nodules were of varying sizes, first appearing along his clavicle and progressively spreading throughout [...]

Case Presentation: A 19 year-old Caucasian woman presented with progressive fatigue, dyspnea on exertion and dizziness for 3 weeks. Her symptoms were preceded by an unknown bug bite approximately 3 weeks ago. She was seen in urgent care two weeks prior to admission and given a course of unknown antibiotics and started on steroids. She [...]

Case Presentation: A 48-year-old female with tyrosine kinase inhibitor-resistant CML on hydroxyurea therapy admitted with 3 weeks of fever, skin redness, and swelling. Her physical examination was remarkable for the temperature of 100.1 F, localized skin erythema, and tenderness around left antecubital fossa. Her labs revealed WBC of 80,000/ mm3 with 7% blast cells which [...]

Case Presentation: A 61-year-old man presented to his primary care provider’s office but could not recall reason for his visit. Over the past year, there had been numerous instances of similar forgetfulness, oftentimes upon completing routine activity without additional symptomatology. Medical history was notable for factor V Leiden, hypothyroidism, and transient ischemic attacks. Physical examination [...]

Case Presentation: A 46 year-old man presents with one week of intermittent headaches. The pain started in his neck and radiated to the eyes. There was associated nausea and vomiting. On the day of admission, he experienced visual hallucinations prompting him to seek medical care. Further history revealed he was diagnosed with CML last year [...]

Case Presentation: We present a 79-year-old woman with a longstanding history of seropositive, erosive, and nodular rheumatoid arthritis. Her rheumatoid arthritis was diagnosed over 40 years prior and had been complicated by Large Granular Lymphocytic (LGL) Leukemia and Felty syndrome with confirmed splenomegaly and neutropenia. She was originally treated with filgrastim for severe neutropenia. About [...]

Case Presentation: A 36-year-old male with a history of B-cell acute lymphoblastic leukemia (ALL) treated with Hyper-CVAD with intrathecal chemotherapy and allogenic hematopoietic stem cell transplant (HSCT) from a haploidentical donor (CMV D-/R+). His ALL relapsed 8 months after transplant and he subsequently underwent pre-phase chemotherapy for future CAR T-cell therapy, developing pancytopenia. He was [...]

Case Presentation: A 21-year-old male with no significant medical history presented with complaints of diplopia of three-week duration which resolved after treatment with steroids. After the initial encounter, patient presented with one week history of left sided facial droop indicative of facial nerve palsy. Extensive neurological work-up including lumbar puncture and imaging were unrevealing, which [...]

Case Presentation: A 68-year-old Spanish speaking female with a history of chronic lymphocytic leukemia (CLL), in remission, and autoimmune hemolytic anemia (AIHA) presented to the ED with left sided neck pain, edema, and hoarseness. These symptoms had been present for the past four months despite three courses of antibiotics. Steroids given in the ED improved [...]