Case Presentation: A 32-year-old female of Chinese descent with no past medical history presented with abdominal pain, nausea and bloating 1 month in duration. Initial labs remarkable for normal blood counts, positive CA 125 of 1118 U/mL and CA 19-9 of 53 U/mL. Abdominal CT demonstrated bilateral ovarian masses, peritoneal carcinomatosis with omental caking and [...]

Case Presentation: A 31-year-old male with HIV (CD4 75, undetectable viral load four months prior) and visceral and pulmonary Kaposi Sarcoma on Doxorubicin presented with one month of dyspnea, fatigue, abdominal distention, and peripheral edema. His temperature was 102.3 F, blood pressure was 127/66 mmHg, heart rate was 120 beats per minute, respiratory rate was [...]

Case Presentation: A 48-year-old man with end-stage renal disease due to IgA nephropathy underwent a deceased donor kidney transplant in 2008, which resulted in graft failure. A second transplant in 2019 required additional thymoglobulin due to high panel reactive antibodies and was complicated by BK nephritis, treated with leflunomide. Since treatment, he had persistent leukopenia, [...]

Case Presentation: Clinical presentation: A 69-year-old female presented to the emergency for shortness of breath and bilateral low extremity edema. She had a history of chronic dyspnea and hypoxia on baseline 2 liters of oxygen and reported worsening dyspnea on minimal exertion for the week prior to admission. Review of symptoms was significant for wheezing [...]

Case Presentation: An 87-year-old male presented to the emergency department following a syncopal episode, preceded by one week of generalized weakness, poor oral intake, and acute left leg pain. His medical history included heart failure with preserved ejection fraction (HFpEF), atrial fibrillation (AFib), chronic kidney disease (CKD) stage IV, rheumatoid arthritis (RA) managed with chronic [...]

Case Presentation: The patient is a 69-year-old female with hemoglobin S/C disease, hypertension, and chronic kidney disease who presented to the hospital for lower back pain in the setting of a fall. CT scan demonstrated an L1 compression fracture and an incidental finding of cystic lesions in the liver and kidneys. Subsequent MRI demonstrated innumerable [...]

Case Presentation: 32-year-old male with history of Stevens Johnson’s syndrome secondary to sulfa allergy presented to the emergency department with vomiting, non-bloody diarrhea, chills and fatigue after returning from a 2-week trip to Africa. He was diagnosed with E coli gastroenteritis and discharged home. He returned four days later with on-going fevers, vomiting, diarrhea, body [...]

Case Presentation: A 77-year-old male with a PMH of atrial fibrillation, coronary artery disease, type 2 diabetes, hypertension and hyperlipidemia presented for a mechanical fall. He endorsed generalized malaise, subjective fevers, chills and fatigue days prior to the event. He denied any headache, cough or shortness of breath. On physical exam, he was febrile and [...]

Case Presentation: A 57-year-old female with end-stage renal disease (ESRD) on hemodialysis and a history of calciphylaxis presented with a non-healing wound on her right hand. Two months prior, she developed a wound on the dorsal surface of her right fourth finger without antecedent trauma. The lesion became painful and discolored, resistant to multiple courses [...]

Case Presentation: A 55-year-old female with a history of metastatic left renal cell carcinoma to the left hemipelvis status post nephrectomy and immunotherapy, and generalized anxiety disorder presented for chronic diarrhea described as over 10 episodes of large volume watery stools daily persisting with fasting and associated with cramping abdominal pain. She reported that previous [...]