Case Presentation: An 80-year-old man with past medical history of GERD and hypothyroidism presented to the hospital with a 3-month history of progressive dysphagia, odynophagia, painful tongue swelling, and an associated 40-pound weight loss. Initial physical exam was only notable for left sided tongue swelling that resolved after one day of dexamethasone. Labs during hospitalization [...]

Case Presentation: A 43-year female with history of gastric adenocarcinoma and Krukenberg tumor, a metastatic disease to the ovaries composed of mucin-rich signet-ring cells, status post left salpingo-oophorectomy and chemotherapy with FOLFOX [leucovorin calcium (folinic acid), fluorouracil, and oxaliplatin] and Opdivo (Nivolumab) presented due to symptoms of dysuria and generalized pain. She was febrile and [...]

Case Presentation: An 83-year-old female with a past medical history of COPD, CAD s/p CABG 2022, hypertension, hyperlipidemia presented to the hospital for an elective revision right hip total arthroplasty. She is on no home oxygen for her COPD and is prescribed steroids and Trelegy Ellipta by her PCP. She does not see a pulmonologist. [...]

Case Presentation: A 31-year-old healthy man presented with several days of chest and back pain associated with shortness of breath, subjective fever, headache, and photophobia. The patient worked in construction and complained of a recent itchy, vesicular rash to his forearm. Review of systems was otherwise negative for recent procedures or surgeries, IV drug use, [...]

Case Presentation: A 43-year-old man with a history of chronic hepatitis B on antiviral therapy was admitted to a hospital medicine service with low back pain, weight loss, fevers, and fatigue over 2-3 months. Exam showed cervical lymphadenopathy (LAD), and initial labs were notable for a hemoglobin of 9.7g/dL, platelet count of 40×109/L, and rare [...]

Case Presentation: This case investigates the etiology of acute interstitial nephritis (AIN) in a metastatic melanoma patient who was transitioned from immune-checkpoint inhibitors (ICIs) to targeted BRAF-MEK inhibitors (BRAFi/MEKi). A 73-year-old man with cutaneous melanoma with lung metastases presented to the emergency room for generalized weakness, fevers, and renal failure. Six weeks prior to his [...]

Case Presentation: A 59-year-old male presented to the ED with tachycardia, hypotension, and three days of vomiting and abdominal pain. He was recently hospitalized for acute hypoxic respiratory failure after several missed hemodialysis sessions. His comorbidities include end-stage renal disease (ESRD) on hemodialysis, peripheral neuropathy on tramadol, and peritoneal mesothelioma not on treatment. Initial labs [...]

Case Presentation: An 83-year-old male with a history of seizures, CHF, hyperlipidemia, obstructive sleep apnea, and BPH presented with 2-3 days of altered mental status. His family reported worsening leg swelling and blisters for the past few months, with a rash spreading to his upper extremities and wounds draining serosanguinous fluid. He was hypoxic in [...]

Case Presentation: A 68 year old Ohioan male with history of chronic renal failure and prior evaluation for monoclonal gammopathy of undetermined significance (MGUS) presents with weakness and unintentional weight loss. Previous work up identified Bence Jones proteinuria, normal K/L ratio, serum immunofixation (IF) and serum protein electrophoresis (SPEP) with two IgG lambda bands and [...]

Case Presentation: A 69-year-old male with a significant past medical history of rheumatoid arthritis on methotrexate presented with acute-on-chronic lumbar pain. Initial imaging revealed an L3 compression fracture, with findings suggestive of discitis or osteomyelitis at L2-L3. MRI confirmed discitis/osteomyelitis, along with an epidural abscess and bilateral psoas abscesses. Further imaging also revealed cavitary pulmonary [...]