Case Presentation: An 83-year-old male with a past medical history of light chain MGUS, macrocytic anemia, and cytopenias, arrived at the emergency room presenting with hemorrhagic bullae on his left hand. He reported intermittent fever episodes and chronic, nonspecific joint pain. Admission labs indicated hemoglobin of 7.6, MCV of 114.1, platelet count of 109, and [...]

Case Presentation: A 25-year-old female with no known significant medical conditions presented with two weeks of vaginal bleeding, generalized body aches, chills, and fever. Blood counts were significant for WBC count 74 K/uL with 9% blasts, platelet count 25 k/uL, and hemoglobin 5.4g/dL. Peripheral smear showed leukocytosis with numerous blasts and occasional Auer rods concerning [...]

Case Presentation: We present a 61 year old female with a history of hypertension and rheumatoid arthritis well controlled on Humira who presented to the ED with tachycardia and tachypnea, found to have profound lymphocytic leukocytosis and altered mental status. The patient’s family reported a history of fatigue and confusion for 4 days as well [...]

Case Presentation: A 70-year-old man visited our hospital for lower extremity edema and involuntary weight loss. A routine check-up at his diabetes clinic five months earlier revealed anemia and an increased inflammatory response. His medical history included hypertension, dyslipidemia, and type 2 diabetes. Computed tomography (CT), blood cultures, gastrointestinal endoscopy, and colonoscopy findings were unremarkable; [...]