Case Presentation: A 58-year-old-woman with no significant past medical history presented to her primary care physician with bilateral lower extremity edema. She was treated with compression stockings but returned after four months without improvement. She was diagnosed with chronic venous insufficiency and referred to a vascular surgeon for a superficial venous ablation, which was ineffective. [...]

Background: Tumor necrosis factor-α (TNF-α) plays a role in the pathogenesis of and serves as a biomarker for obstructive sleep apnea (OSA) [1]. Moreover, patients with juvenile idiopathic arthritis (JIA) had a numerically elevated risk of OSA [2-4]. Given TNF-α inhibitors have been widely used to treat JIA, the aim of the present study was [...]

Background: Rhabdomyosarcoma (RMS) is an exceptionally rare soft tissue sarcoma that exhibits significantly lower survival rates in adults when compared to pediatric patients. This disparity is likely attributed to a combination of histopathological variations, delayed, or missed diagnoses, and treatment-related factors(1). Notably, adult RMS originating from the extremities is classified as “unfavorable” and has been [...]

Background: Obstructive sleep apnea (OSA) is a disorder characterized by obstructive apneas and hypopneas due to repetitive collapse of the upper airway during sleep. OSA is the most common sleep-related breathing disorder. The estimated prevalence is 20 to 30 percent in males and 10 to 15 percent in females. Patients with OSA, are at increased [...]

Case Presentation: 59-year-old male with history of hypertension, insulin dependent diabetes mellitus type two, alcohol abuse, and depression/anxiety presented to the Intensive Care Unit by emergency medical service after being found down by his neighbors with multiple empty alcohol bottles around him. Vital signs were significant for heart rate 115. Lab data included sodium 146, [...]

Case Presentation: A 26 year old previously healthy male presented with complaints of right leg weakness and urinary retention.  Three weeks prior, he experienced back pain in the setting of a lifting injury at work and was treated symptomatically for low back strain.  Two weeks later, he began having right leg weakness and tingling which [...]

Case Presentation: A 69-year-old male with history of iron deficiency anemia, recurrent venous thromboembolism on apixaban, splenomegaly, ulcerative colitis who presented to emergency department due to exertional shortness of breath. 6 weeks prior to admission, the dose of azathioprine was increased from 50mg daily to 100mg daily due to suboptimal 6-thioguanine nucleotide (6-TGN) level. 1 [...]

Case Presentation: A 64-year-old male with past medical history of coronary artery disease, hypertension and weight loss of 20 pounds within 4 months presented to the hospital after he had a seizure-like activity of his upper body lasting around 10 minutes accompanied by altered mentation. Upon arrival to the emergency department, his symptoms had resolved. [...]

Case Presentation: : A 50-year-old African-American woman with history of hypothyroidism presented to the hospital with one week of sharp right orbital headaches, numbness, and itching. Associated symptoms included numbness from the eye to the mouth, pruritus, and dysphagia. Physical exam was remarkable for diminished pin prick and temperature sensation in the V1-V3 distribution on [...]

Case Presentation: A 55-year-old man with type 2 diabetes mellitus, metastatic renal cell carcinoma to brain and bone despite left nephrectomy and multiple cycles of chemotherapy and recent immunotherapy with nivolumab presented 3 weeks post whole brain radiation treatment (WBRT) with 4 days of right arm pain and swelling. He visited upstate New York prior [...]