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 40-year-old Hispanic male with a history of heart failure, hypothyroidism, and pre-diabetes was admitted for a warm, itchy, and painful rash on his extremities, accompanied by swelling in his upper limbs. He also experienced joint pain and stiffness in his elbows, knees, ankles, wrists, and back, without fever. Examination revealed pink, warm, [...]

Case Presentation: Establishing the diagnosis of tuberculosis (TB) can be challenging due to its heterogeneous presentation and limited sensitivity of testing. Pulmonary TB can share overlapping radiological, clinical, and histopathological features with other lung diseases. Physicians often wait for confirmatory testing prior to starting treatment. A 36-year-old male from Haiti presented with a 4-months of [...]

Case Presentation: A 63-year-old male with a past medical history of type 2 diabetes mellitus, paroxysmal atrial fibrillation, ESRD on HD, and acute myeloblastic leukemia (AML) (diagnosed in 2015) in remission s/p allogeneic MRD PBSCT (4/16) was admitted for generalized weakness and confusion. His hospitalization was complicated by worsening pancytopenia (Hgb 7.8 g/dL, WBC 3.2 [...]

Case Presentation: An 83-year-old male with a complex medical history, including prostate cancer in remission, presented to the clinic. Routine labs revealed a serum calcium of 14 mg/dL and serum creatinine of 2.71 mg/dL and he was admitted directly from the clinic. Management included aggressive intravenous hydration, calcitonin, and a single dose of zoledronic acid. [...]

Case Presentation: 69-year-old male with past medical history of sarcoidosis was found to have a positive quantiferon gold on outside labs and thus presented to the hospital for TB rule-out. On presentation, patient reported generalized fatigue, weakness and mild shortness of breath for the past year and denied fevers, chills, night sweats, or weight loss. [...]