Case Presentation: A 78-year-old man with heart failure, chronic kidney disease, and hereditary spastic paralysis was hospitalized with hyperkalemia to 7.7 mmol/L. He was admitted a month prior with heart failure and discharged on lisinopril with a new prescription for spironolactone. The patient had decreased appetite, limited oral intake, mild nausea, and no vomiting with [...]

Case Presentation: An 80-year-old female with a past medical history of atrial fibrillation on daily aspirin, previously managed with Eliquis but discontinued due to multiple GI bleeds of unknown origin, and unexplained leukocytosis up to 61.67K, transferred to an academic hospital from a community hospital for two episodes of hematochezia and symptomatic anemia with a [...]

Case Presentation: We present the case of a 33 year old male who presented with a one day history of non-radiating right upper quadrant abdominal pain worsened by physical activity and lying on his right side. The patient initially suspected that he may have been constipated, but then presented to our hospital due to increasing [...]

Case Presentation: We present a 61 year old female with a history of hypertension and rheumatoid arthritis well controlled on Humira who presented to the ED with tachycardia and tachypnea, found to have profound lymphocytic leukocytosis and altered mental status. The patient’s family reported a history of fatigue and confusion for 4 days as well [...]

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: A 41-year-old male with a recently diagnosed left iliac soft tissue mass presents to our institution complaining of severe pain in his lower back and left hip limiting his ability to walk. The patient denied any recent fevers or chills, night sweats, allergies, or a family history of malignancies. The pelvic MRI on [...]