Case Presentation: A 53-year-old woman with a history of bioprosthetic aortic valve (AV) placement in 2014 presented with three weeks of exertional dyspnea and dark stools. On presentation stool guaiac was positive and her hemoglobin [...]
Case Presentation: An 18 year old female with a history of cirrhosis due to autoimmune hepatitis on immunosuppressants presented with acute low back strain. On presentation, her vital sign was remarkable for heart rate of [...]
Case Presentation: Vitamin B12 (B12) deficiency is a commonly encountered clinical condition that frequently presents with either macrocytic anemia or neurological symptoms. The objective of this report is to describe a rare case of severe [...]
Case Presentation: A 33 year-old US born woman with iron deficiency anemia presented after one episode of pre-syncope. She reported 3 weeks of progressive fatigue, shortness of breath, and pain in the chest, back, and [...]
Case Presentation: A 46-year-old woman with iron deficiency anemia presented with headache, right hand weakness, and “difficulty texting and folding clothes,” two weeks after being hospitalized for symptomatic anemia with shortness of breath and hemoglobin [...]
Case Presentation: A 21-year-old man presented with two weeks of progressive dyspnea. He denied chest pain, lower extremity edema, orthopnea, melena, hematochezia, hemoptysis, cough, or fever. He had a previous presentation with similar symptoms of [...]
Case Presentation: A 61-year-old African American female with a history of diabetes mellitus presented with right lower quadrant abdominal pain and melena for 1 week. Her stool was guaiac-positive. CBC with differential and CMP revealed [...]
Case Presentation: A 76 year-old male with a history of diverticulitis, T2DM, HTN, persistent atrial fibrillation and compensated alcoholic cirrhosis presented for recurrent gastrointestinal bleeding (GIB). He initially presented to an outside hospital six months [...]
Case Presentation: A 27-year old African American male presented with 3 months of bilateral inguinal lymph node enlargement, fevers, night sweats, fatigue, and weight loss. Patient presented for outpatient nodal biopsy and subsequently sent to [...]
Case Presentation: A previously healthy 12 month old presented to the emergency department with three weeks of progressively worsening generalized edema and one week of fatigue and pallor. Patient was born at term, and growth [...]
Background: Fatigability describes how fatigued a patient is at any given level of activity, and is measured as the degree of fatigue a patient experiences after performing a specific amount of activity. The National Institute [...]
Background: Anemia in patients with heart failure (HF) is common. Data reported shows a variable prevalence ranging from 10-40%. Additionally, it has also been demonstrated that it is associated with poor outcomes. Multiple risk factors [...]
Case Presentation: 44 year old male with insulin dependent type 2 Diabetes mellitus and hypothyroidism presented with fatigue, weakness, dyspnea on exertion and light headedness for several weeks. He denied bloody stools or melena. Medications [...]
Case Presentation: A 23 month old female with minimal primary care visits presented to the ED after a syncopal episode. She was found to be tachycardic, tachypneic, and hypoxic. Physical exam revealed an irritable, pale [...]
Case Presentation: A 49-year old man with no significant medical history presented with dyspnea and presyncope. He presented similarly six weeks prior and was diagnosed with constrictive pericarditis thought to be of a viral etiology. [...]
Case Presentation: A 66-year-old male with history of type 1 Von Willebrand disease, colonic polyps, and gastric ulcer from naproxen use due to osteoarthritis presented with a 3-week history of lethargy and fatigue with walking [...]
Case Presentation: An 88 year old man with a history of severe aortic stenosis with transcatheter aortic valve replacement and unprovoked pulmonary embolism (on lifetime warfarin) presented with four days of lethargy and weakness. He [...]
Case Presentation: A previously healthy two-year-old girl from southeastern Kentucky presented with pallor. She took no medications. Upon review of her diet, she was consuming nearly a gallon of whole milk daily. She enjoyed playing [...]
Case Presentation: Recognition of clinically significant copper deficiency is increasing. Hematologically, it can present as anemia (microcytic, normocytic, or macrocytic) and neutropenia. Bone marrow findings can mimic myelodysplasia resulting in occasional inappropriate referral for bone [...]
Case Presentation: A 66-year-old female presented from the Dominican Republic with a 6-month-history of progressive weight loss, worsening confusion and inability to ambulate. On exam, she was alert and oriented to person only, pale but [...]