Case Presentation: A 12-year-old Caucasian male with no significant medical history presented with a 6-day history of bilateral leg pain following a soccer game. As an avid soccer player, he had experienced similar episodes over the past three years, managed previously as “growing pains” with NSAIDs and acetaminophen. However, this presentation raised concern for an [...]

Background: Coffee is a widely consumed beverage. Evidence suggests that coffee consumption is associated with a substantially lower risk of type 2 diabetes (1). However, there is paucity of literature on whether coffee consumption has any protective effect on people who already have diabetes. We sought to examine the association between caffeine consumption and hemoglobin [...]

Background: Multiple professional societies recommend red blood cell transfusions for hospitalized patients based on the presence of symptoms of anemia, like fatigue. These recommendations endorse the idea that the severity of anemia symptoms are due to a patient’s nadir or reduced hemoglobin (Hb) concentration, and that correcting the Hb concentration with a transfusion will improve [...]

Case Presentation: A 73-year-old Caucasian male presented with worsening fatigue and dyspnea for several days. His comorbidities included remote history of essential thrombocytosis controlled with aspirin, hypertension, chronic kidney disease, and mitral valve repair. He was admitted to the medical ICU for acute hypoxic respiratory failure requiring mechanical ventilation. His physical exam was remarkable for [...]

Case Presentation: An 80-year-old man with a past medical history of hypertension, benign prostatic hyperplasia, and hypothyroidism, presented to the emergency department due to a sudden loss of consciousness. The episode lasted a few minutes and was not associated with trauma, prodrome, seizure, or postictal confusion. Patient had recently been prescribed phenazopyridine for a suspected [...]

Case Presentation: 35 year old African American Female with history of HIV of 16 years duration, not on antiretroviral therapy, was admitted to the hospital with shortness of breath, generalized weakness, and poor appetite of 2 week duration. She had been admitted to the hospital a month ago for candidal esophagitis and discharged on dapsone [...]

Case Presentation: An 84 year old female with a past medical history significant for systemic lupus erythematous (SLE) presented to the emergency department with fatigue and dizziness. She had recently been admitted to the same hospital with acute kidney injury secondary to lupus nephritis. During that admission, she was started on high dose prednisone, a [...]

Case Presentation: A 69-year-old woman with ALL on chemotherapy and prior venous thromboembolisms being treated with rivaroxaban was admitted for symptomatic COVID19. She was dyspneic with pulse oximetry saturations in the 90s, so she was started on oxygen via nasal cannula, dexamethasone, and remdesivir. Initial chest X-ray, troponins, D-dimer, and BNP were unremarkable. Chemotherapy was [...]

Case Presentation: An 82-year-old female presented to the emergency department with a hemoglobin of 5.2 g/dL and complaints of nausea, fatigue, and progressive weakness over the past 2 months. She denied any episode of overt bleeding; no hemoptysis, hematochezia, hematuria, or bloody vaginal discharge. She also denied trauma or any recent falls. The patient’s physical [...]

Case Presentation: We present a 48-year-old Caucasian female with a past medical history of breast cancer, status post-mastectomy, admitted for a month of abnormal uterine bleeding, secondary to fibroids; continued blood loss led to acute kidney injury. Retroperitoneal ultrasound showed multiple cysts of various sizes throughout both kidneys with left renal enlargement consistent with ADPKD; [...]