Case Presentation: A 72-year-old male with hypertension, chronic kidney disease, and nephrolithiasis presented with six months of progressive weakness, unintentional weight loss, and fatigue. He had recurrent hypercalcemia, pancytopenia and recently diagnosed cirrhosis of undetermined etiology. The patient had three hospitalizations in the preceding six months for failure to thrive and hypercalcemia responsive to intravenous [...]

Case Presentation: A 79 year old male presented to the hospital for evaluation of acute worsening testicular pain/swelling that had been ongoing for 3 months. When symptoms first began three months prior, he was evaluated by Urology and diagnosed with epididymitis; however, he completed two courses of antibiotics without symptomatic improvement. Testicular and abdominal ultrasound [...]

Case Presentation: A 70-year-old with a hyperlipidemia, diabetes, coronary artery disease, heart failure with mildly reduced ejection fraction and vascular dementia was admitted to the Orthopaedic Surgery service after a fall sustaining a femoral neck fracture. On assessment by the Hospital Medicine consultation service, the patient had clear lungs and no cardiac murmurs. Admission labs [...]

Case Presentation: A 54-year-old female with a past history significant for anxiety, tobacco, and alcohol use disorder presented to the emergency department with nausea, dizziness, weakness, and vomiting. Husband reports patient was bit by a dog on her right hand but denies any noticeable wound. He reports on the weekend she also had 2 episodes [...]

Case Presentation: A 72-year-old woman with a past medical history significant for chronic obstructive pulmonary disease (COPD) and tobacco use disorder presented to the emergency department due to significant bilateral hand and lower extremity swelling and pain for the past several months. She denied respiratory symptoms, radicular pain, tingling, or weakness of her upper and [...]

Case Presentation: A 58-year-old man with a history of Lyme disease was diagnosed with babesiosis two weeks earlier, confirmed by positive Babesia Polymerase Chain Reaction (PCR), and treated with a 10-day course of azithromycin and atovaquone. He returned with fatigue and exertional dyspnea, and labs indicated worsening pancytopenia. Suspecting hemolysis and bone marrow suppression from [...]

Case Presentation: E-cigarette or vaping product use-associated lung injury (EVALI) emerged as a significant public health concern during a 2019 CDC outbreak that affected 2,800 individuals and caused 68 deaths nationwide. While EVALI primarily affects young males, it manifests with respiratory, gastrointestinal, and systemic symptoms that can mimic conditions like pneumonia or COVID-19, creating diagnostic [...]

Case Presentation: A 61-year-old female with past medical history of coronary artery disease, antiphospholipid syndrome, Sjogren’s syndrome, and double stenting of the celiac artery due to focal dissection one month prior to her current hospitalization presented to the hospital with a 6-month history of substernal and mid-epigastric pain which worsened with food intake. Over the [...]

Case Presentation: We report the case of a 45-year-old female with stage IA triple-negative breast cancer treated with neoadjuvant chemotherapy and pembrolizumab who developed secondary adrenal insufficiency due to adrenocorticotropic hormone (ACTH) deficiency six months after stopping the immune checkpoint inhibitor. She presented with persistent nausea, vomiting, weight loss, and altered mental status. Laboratory results [...]

Case Presentation: A 23-year-old male with HgB SS sickle cell disease and iron overload due to chronic transfusions presented from an outside hospital with sickle cell pain crisis complicated by a total bilirubin level of 30 U/L. At the time of admission, his pain crisis had resolved. Physical exam revealed scleral icterus and gallbladder ultrasound [...]