Intravascular Large B Cell Lymphoma - Still a Diagnostic Dilemma.

Intravascular large B cell lymphoma (IVLBCL), a rare subtype of diffuse large B cell lymphoma (DLBCL), presents with non-specific symptoms and is an extremely difficult diagnosis to make despite extensive workup. It very rarely presents with endocrinologic abnormalities. We present a case of an 81-year-old woman whose predominant presenting manifestation was endocrinopathy, who passed away from multiorgan failure, and was diagnosed to have IVLBCL on post mortem autopsy.

AGEP from a dog bite treated with Ibuprofen.

Background: Acute Generalized Exanthematous Pustulosis (AGEP) is a rare dermatologic reaction characterized by an erythematous rash with pustular erosions, fever and leukocytosis. Although most often secondary to antibiotic use, AGEP has also been associated with many drugs. A thorough literature search showed only four previously documented cases of ibuprofen-associated AGEP, and one case of dog bite-associated AGEP.

Benzocaine and lidocaine induced methemoglobinemia after bronchoscopy: a case report.

Introduction: Methemoglobinemia is a rare cause of hypoxemia, characterized by abnormal levels of oxidized hemoglobin that cannot bind to and transport oxygen.

Case Presentation: A 62-year-old male underwent bronchoscopy where lidocaine oral solution and Hurricaine spray (20% benzocaine) were used. He developed central cyanosis and his oxygen saturation was 85% via pulse oximetry.

Impact of a residency research program on research activity, faculty involvement, and institutional cost.

Background: The impact of residency research programs on resident research activity, faculty involvement, and institutional cost has not been well described.

Description: A strategy to increase resident research activity was implemented in a community-based internal medicine residency program. Strategy components included a resident research director, a research elective, cost reimbursement, and a research requirement.