Case Presentation: A 48 year-old woman presented to the emergency room with dizziness following five episodes of black stool. She had otherwise been well and denied prior episodes. Her admission labs were notable for hemoglobin of 6.2 g/dL, white blood cell count of 24,000/uL, and platelets of 1.4 million/uL. On chart review, the patient had [...]

Case Presentation: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly usually presenting in infants with high mortality. This is a one of the rare cases of ALCAPA diagnosed at 40 years of age which presented with a series of complications after repair of the anomaly.Case: A [...]

Case Presentation: A 63-year-old female with a history of laryngeal cancer presented with upper abdominal pain, nausea, and fatigue. Labs showed a white blood cell count of 41.5 × 10^9/L, hemoglobin of 10.1 g/dL, platelet count of 162,000/µL, and absolute neutrophil count of 9.97 × 10^9/L, with basophilia (1.0 k/µL). Peripheral blood smear had circulating [...]