Background: The tumor microenvironment and its interaction with the tumor are indicative of disease progression but has not been clinically applied due to the lack of objective assessment criteria. Proximity associated effects of the tumor to its microenvironment which can explain the long-term behavior of tumor remains to be developed. In this work, we utilized [...]

Case Presentation: A 71 years old white male, with a past medical history of severe eosinophilic asthma, was transferred to our hospital with hypoxemic respiratory failure and worsening infiltrates. Respiratory PCR was negative. The patient was febrile with T-max of 101 F, required 6 L of oxygen. Labs showed WBC 21,000, Hemoglobin was7.4, and Creatinine [...]

Case Presentation: A 56-year-old man with a past medical history of hypertension, hyperlipidemia, polysubstance abuse, and perforated appendicitis presented to the emergency department for one-week right lower quadrant abdominal pain. Of note, two-years prior, the patient had one-day of similar pain associated with nausea and emesis. A computed tomography (CT) scan of the abdomen and [...]

A RARE CASE OF ANGIOIMMUNOBLASTIC T-CELL LYMPHOMA Sirish Dharmapuri MD, Marguerite Salam MD, Qi Shi MD Case Presentation: This is a 66 year old male who was hospitalized secondary to recurrent lower extremity cellulitis. He was also previously admitted about 2 months ago for bilateral lower extremity DVT and received an IVC filter as the [...]

Case Presentation: A 79-year-old Caucasian non-diabetic male with history of renal cell carcinoma, s/p left nephrectomy in 2005 and coronary artery stent placement 2 months prior and on Clopidogrel, presented with acute onset sweating and palpitations. Monitoring revealed fasting serum glucose as low as 29mg/dL with concurrent insulin level of 9,600 uIU/mL. Further investigations for [...]

Case Presentation: The patient was a 57 year old male with IgG lambda MM (Multiple Myeloma) without remission after autologous hematopoietic stem cell transplant. One month after transplantation, he developed erythematous right flank swelling, high fever, fatigue and anorexia. CT scan revealed inflammatory stranding of right medial gluteal musculature and pre sacral space which was [...]

Case Presentation: We present the case of a 34-year-old female with PMHx of chronic hypoxemic respiratory failure secondary to LCH with cor pulmonale that had questions about sexual intercourse. She reported that she and her partner were planning to have sexual intercourse, and she wanted a medical opinion about the health risks because of probable [...]

Case Presentation: 61-year-old male presented with fatigue, dizziness and epigastric discomfort. Patient was noted to be anemic on lab investigations. Patient underwent a CT scan of the abdomen and pelvis which demonstrated a 4.7 x 4.6 cm mass in the anteromedial stomach distal to GE junction. There was also a 1.8 x 1.5 cm structure [...]

Case Presentation: A 73 year old male with a history of hypertension and osteoarthritis presented to the hospital with progressively worsening back pain. He has chronic back pain, but suddenly woke up and noticed a difficult time walking and standing, resulting in a fall. His symptoms were associated with subjective fevers, chills, and diaphoresis. Vital [...]

Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT [...]