Case Presentation: A 74-year-old female with a history of restless leg syndrome, hypertension, GERD, presented with worsening fatigue, shortness of breath, and anasarca over the last 6 months. Labs revealed anemia (hemoglobin, 8.0 g/dL), thrombocytopenia (platelet count, 46K/μL), reticulocyte count 11.4%, undetectable serum haptoglobin, serum LDH >2700 U/L, ferritin 1223 ng/mL, negative direct Coomb’s test, [...]

Case Presentation: A 64-year-old male with a medical history of psoriatic arthritis on etanercept, coronary artery disease, adrenal insufficiency and alcohol use disorder who presented to the hospital with complaints of weakness, fatigue, night sweat, and transient slurring of speech. Physical examination was normal. Laboratory investigation showed Hemoglobin of 10, Platelets 150, WBC 6, CRP [...]

Case Presentation: An 81-year-old woman was referred with a 1-month history of subacute progressive bilateral leg edema and a 1-week history of pain and inflammation in both lower legs. She had no history of fever or weight loss. Physical examination revealed pitting bilateral edema with tenderness. No heart murmurs or jugular venous distention were noted. [...]

Case Presentation: A 73-year-old woman with a history of coronary artery disease and remote cervical cancer presented to the hospital with a two-month history of progressive leg weakness and confusion. Over the course of six weeks, symptoms progressed to flaccid paralysis and loss of sensation in both legs. Magnetic resonance imaging (MRI) demonstrated enhancing hemorrhagic [...]

Case Presentation: 52-year-old male presented with six-week history of unintentional weight loss, decreased appetite and non-radiating dull suprapubic pain. Review of systems was notable for constipation, polyuria, polydipsia, nausea, and left leg swelling. No family history of cancer or blood dyscrasias. Physical examination revealed blood pressure- 194/114 mmHg, heart rate -105, distended abdomen with hypoactive [...]

Case Presentation: 69-year-old male with past medical history of sarcoidosis was found to have a positive quantiferon gold on outside labs and thus presented to the hospital for TB rule-out. On presentation, patient reported generalized fatigue, weakness and mild shortness of breath for the past year and denied fevers, chills, night sweats, or weight loss. [...]