Case Presentation: A 83-year-old female with PMH of hypertension, type II diabetes mellitus, and prior tobacco use initially presented to the ED for generalized weakness. Initial exam was notable for hypertension and slowly healing wound on her right leg s/p mechanical fall several weeks prior. Her labs revealed hyperglycemia with serum glucose > 500 in [...]

Case Presentation: A 63-year-old female with no prior oncologic history was found to have a right breast mass via ultrasound guided biopsy. Pathology showed invasive poorly differentiated metaplastic carcinoma triple negative breast cancer. She was started on neoadjuvant chemotherapy, including Keytruda (pembrolizumab) every 3 weeks. During therapy, she developed Grade 1 fatigue and anemia. Baseline [...]

Case Presentation: A 55 year old Caucasian male presented to the emergency department with two weeks of palpitations and chest pain. He experienced intermittent chest pressure and palpitations that were worse while lying down. He denied recent change in weight, skin changes, or SOB. He had a 45 pack-year smoking history, having quit two years [...]

Case Presentation: A 73-year-old male with a medical history of hypertension presented with vomiting of 5 days. Vomitus was non-bloody, non-bilious in nature and was associated with headache. The headache was sudden in onset, bifrontal, 8/10 on a numerical rating pain scale.Initial vitals were remarkable for BP of 68/54 mm Hg which improved to 94/55 [...]

Case Presentation: A 71-year-old man presented with 1 week of progressive fatigue and weakness. Upon arrival, he stated that he could not get out of bed, even to use the bathroom. Notably, he had undergone an infusion of carboplatin, pemetrexed, and pembrolizumab for treatment of lung adenocarcinoma 9 days before presenting. He attributed his symptoms [...]