Case Presentation: 70-year-old male with a history of prior renal cell carcinoma, type 2 diabetes, CKD, and s/p nephrectomy was evaluated in an outside emergency department three times in one month for neck pain, fatigue, hypotension, and unexplained weight loss. However, his most recent visit included fevers and worsening muffled voice for 3 days. His [...]

Case Presentation: A 47 year old woman with Lynch syndrome presented with only intermittent abdominal discomfort and mucus in her stools for several months. Colonoscopy showed patchy erythema in the cecum and the transverse colon. The pathology revealed high-grade dysplasia with focal intramucosal signet ring cell carcinoma. Immunohistochemical stains were positive for CD68, CDX2, pankeratin [...]