Case Presentation: A 63-year old woman presented with progressive, severe bilateral hearing loss over the course of two months with complete loss of hearing over the week prior to presentation. She had associated imbalance and mild generalized fatigue. She had not received medical care for many years prior to this admission. She denied head trauma, [...]

Case Presentation: A 61-year-old African American female with a history of diabetes mellitus presented with right lower quadrant abdominal pain and melena for 1 week. Her stool was guaiac-positive. CBC with differential and CMP revealed severe normocytic anemia (MCV 88 fL) with a hemoglobin of 5.8 g/dL, leukocytosis (17 × 109/L), thrombocytopenia (118 × 109/L), [...]

Case Presentation: A 63-year-old man with a history of heart failure and cold autoimmune hemolytic anemia secondary to Waldenstrom macroglobulinemia was admitted for shortness of breath. He was diagnosed with heart failure exacerbation and was being treated with intravenous diuresis with close electrolyte monitoring. His initial potassium reading was 6.2 mEq/L, but the sample was [...]

Case Presentation: This patient is a 53-year-old male with type 1 diabetes, hyperlipidemia and hypertension who presented with a 5 week history of diffuse whole body edema and an unintentional weight gain of 10 kilograms. He was started on bumetanide, losartan and empagliflozin by his outpatient team with brief improvement but subsequently worsened. He presented [...]