Case Presentation: A 36-year-old man with past medical history of recent coronavirus disease 2019 (COVID-19) presented to our hospital with numbness of the lower extremities for two weeks. The patient stated the numbness had progressed from his right leg to his left leg. He also mentioned having urinary and fecal retention. He denied any recent [...]

Case Presentation: The patient is a 53-year-old female with a past medical history of thrombotic thrombocytopenic purpura (TTP), asplenia, hypertension, hepatitis C, patent foramen ovale with closure, and multiple strokes who presented to our institution with a three-day history of dysequilibrium and nausea. The patient’s TTP was initially diagnosed at 19 years of age during [...]

Case Presentation: An otherwise healthy 36 year-old presented to the emergency room with increasing pain and swelling of her left upper extremity, progressively worsening over the last week. Physical examination showed significantly enlarged left upper extremity with tenderness and erythema. Further evaluation showed presence of left subclavian, internal jugular vein DVT. A CT-angiogram performed for [...]

Case Presentation: A 47-year-old male with a history of untreated ulcerative colitis (UC) presented to the emergency department with a two-week history of jaundice, malaise, fatigue, right upper quadrant pain, and tan-colored stools. Vital signs were normal. Physical exam was remarkable for epigastric tenderness, sclera icterus and jaundice. Relevant laboratory findings revealed total bilirubin of [...]

Case Presentation: A 38 year old male with a history of anxiety and hypothyroidism who received the second dose of SARS-COV2 Pfizer-Biontech vaccination 17 days prior, presented with 4 days of severe gingival bleeding after dental cleaning, epistaxis and a petechial rash of his extremities and was found to have new onset severe thrombocytopenia of [...]

Case Presentation: A 29-year-old man with a history of exercise-induced asthma presented with left-sided chest pain and exertional dyspnea. Two weeks ago, he started experiencing chest pain when playing basketball. The pain was relieved with rest. Prior to current admission, he was treated for asthma exacerbation for similar symptoms at a community hospital. He continued [...]

Case Presentation: We present an 80-year-old female with a medical history significant for atrial fibrillation and heart failure with preserved ejection fraction. She underwent pulmonary vein isolation in 2017 and had reportedly been on flecainide 150 mg twice daily and atenolol 100 milligram twice daily since then. She presented to the emergency department with dyspnea [...]

Case Presentation: A 64 year-old male with a history of childhood polio leading to severe kyphoscoliosis presented to our hospital with four months of progressively worsening shortness of breath and was found to be in acute hypoxic and hypercapneic respiratory failure requiring noninvasive positive pressure ventilation (NPPV). On exam, he was altered and not responding [...]

Case Presentation: 66 year old male with past medical history of hypertension presented with complains of tingling sensations & weakness involving his hands for 2 weeks. His initial symptoms began with weakness involving bilateral feet, legs & hamstrings that started about 10 weeks prior to this presentation. He received moderna vaccine 1 month prior to [...]

Case Presentation: Permanent pacemaker placement is associated with venous thrombosis along the lead access tracks. Temporary pacemakers are much less frequently associated with thrombosis. We present a case of acute internal jugular deep venous thrombosis in a patient several days after temporary, followed by permanent, pacemaker insertion.A 76-year-old female with history of severe symptomatic aortic [...]