Case Presentation: Electrocardiograms (ECG’s) hold a strong diagnostic value in medicine. They are of particular usefulness when that can be extended to the prognostic arena. In a few cases, it offers particularly important information in the short term. One such finding is the presence of T wave alternans.  A 56 year old female with past [...]

Case Presentation: Patient is a 61-year-old male found lying only partially clothed in a church courtyard brought in by EMS, hypothermic on arrival and tachycardic in the 130s. HRs improved with hydration and warming. Patient became verbally aggressive and threw himself on the floor multiple times. Initial troponin noted to be 4 peaking at 6.2. [...]

Case Presentation: We report a case of an asymptomatic 65-year-old Hispanic male with a left neck mass. Ultrasound and fine needle aspiration were compatible with thyroid cancer. He underwent a total thyroidectomy with modified radical left neck dissection. The tumor measured 5 x 3.5 x 2.7 cm, with complete involvement of the left thyroid lobule. [...]

Case Presentation: A 77-year-old female with a history of hypertension and stage IV uterine carcinosarcoma treated with resection, peritoneal debulking, and chemotherapy, presented to the hospital with chest pain and shortness of breath. Her workup revealed new anemia and pulmonary metastatic disease. She underwent an esophagogastroduodenoscopy and colonoscopy for her anemia workup which showed no [...]

Case Presentation: A 79-year-old male with cerebral amyloid angiopathy was admitted to the hospital due to the sudden onset of left-sided hemiparesis, sensory loss, neglect, facial palsy, and cognitive impairment. Upon neurological examination, the patient’s NIHSS score was determined to be 9, attributable to left-sided neglect, motor weakness, and facial palsy. CT head revealed a [...]

Case Presentation: Neuroendocrine tumors encompass a range of presentations, with pheochromocytomas (PCCs) accounting for most cases. PCCs are catecholamine-secreting tumors arising from the adrenal medulla, while paragangliomas (PGLs) represent a rarer subset (15-20%) originating from extra-adrenal chromaffin cells. Symptoms, including episodic or sustained hypertension, arise from catecholamine excess. Rarely, PGLs can present with intracerebral hemorrhage [...]