Case Presentation: A 67 year old Caucasian male with history of squamous cell carcinoma of the lower lobe of the left lung was admitted to the hospital after his pre-chemotherapy laboratory work at his oncologist showed elevated liver enzymes (AST 162, ALT 141), elevated CK (2856), CK-MB (104) and elevated troponin (0.83). The patient had [...]

Case Presentation: A 75 year-old man with history of type II diabetes and hypertension presented with progressive dyspnea. Two weeks prior, he had presented with similar symptoms that were attributed to COPD due to a remote history of smoking. He was hypoxic upon presentation requiring bi-level positive pressure ventilation with a FiO2 of 40%. He [...]

Case Presentation: A 66 year old female with a past medical history significant for metastatic melanoma undergoing immunotherapy with ipilimumab (treatment start date three weeks prior) and nivolumab, poorly controlled T2DM, abnormal liver function tests, and hyperlipidemia who initially presented to an urgent care, presents to the emergency department with double vision and difficulty swallowing. [...]

Case Presentation: A 59 year old man with stage IV lung adenocarcinoma of the right lower lobe with metastases to the ribs and thoracic vertebra presented with shortness of breath, diplopia, and dysphagia. Six weeks prior to presentation he was treated with one cycle of carboplatin, pemetrexed, and pembrolizumab along with palliative radiation therapy to [...]

Case Presentation: Case1: A 72- year old male with a diagnosis of stage four non-small cell Lung carcinoma who was treated with Pembrolizumab, presented two weeks after his first dose with generalized body aches and weakness. Labs showed elevated creatinine Kinase, increased serum creatinine with hyperkalemia to 5.6 and elevated troponins to as high as [...]

Case Presentation: Mononeuritis multiplex (MM) was first described in 1960 as a hereditable neuropathy favoring the brachial nerve. MM is now known as the painful, asymmetrical destruction of at least two separate peripheral nerves caused by an array of disorders including diabetes mellitus, systemic lupus erythematous, rheumatoid arthritis, and various vasculitides. This clinical case describes [...]

Case Presentation: Case 1:A 55 year-old woman with a history of myasthenia gravis presented to with symptoms of double vision. She was also complaining of palpitations, weight loss, sweating, and insomnia. She was diagnosed with myasthenic flare, and she was treated with prednisone. The patient continued to have symptoms, so she was referred to an [...]

Case Presentation: A 76-year-old female with a history of hypertension, BMI 48 kg/m2, hypothyroidism, and metastatic melanoma presented with a 2-week history of progressive myalgia, weakness, and dyspnea 3 weeks after the first infusion of nivolumab and relatlimab.In July 2019, she was diagnosed with stage IIB (cT4a, cN0, cM0) melanoma of the left leg (4.2 [...]

Case Presentation: A 65-year-old male with a past medical history significant for hypertension initially presented with episodes of double vision, fatigue and dysphagia. Physical exam was remarkable for right-sided ptosis which improved with the ice pack test. Serology was positive for anti-acetylcholine receptor antibodies. Further workup revealed a decremental response to slow (2Hz) repetitive nerve [...]

Case Presentation: A 79-year-old Caucasian male presented to the hospital with complaints of worsening generalized weakness, difficulty swallowing, and shortness of breath for about 3 weeks. His past medical history was significant for metastatic melanoma (metastasis to brain, lung). He received his first session of immunotherapy with Ipilimumab and Nivolumab one month before his presentation [...]