Case Presentation: A 61 yo female with a medical history significant for chronic pancreatitis, hypertension, brain aneurysm, and cerebrovascular accident presented to the ED for shortness of breath. She was previously admitted to an outside hospital with shortness of breath secondary to ACE-I induced angioedema, during which period she was emergently intubated due to diffuse […]

Case Presentation: 46 year-old-female with past medical history of hypertension, Factor VII(FVII) deficiency, morbid obesity, thoracic spine stenosis presented with bilateral lower extremity weakness. Computed Tomography (CT) myelogram showed severe canal stenosis with spinal cord compression at Thoracic(T)10-11 and T11-12 levels and the spine team was planning surgery. Pre-operative labs showed prothrombin time(PT) of 21.2 […]

Case Presentation: A 73-year-old male with a history of heart failure with preserved ejection fraction presented with one month of dizziness, weakness, dyspnea on exertion, and a 25-pound weight loss due to loss of appetite. On the day of admission, he had three brief episodes of syncope upon standing. His initial blood pressure was 64mmHg/40mmHg, […]

Case Presentation: A 26-year-old male with no significant history presented with two days of fevers, headaches, myalgias, and confusion. On arrival to the hospital, he was febrile to 104.5F, responsive to commands but lethargic. He was warm, diaphoretic, with no nuchal rigidity and negative Kernig and Brudzinski signs. Neurological and ophthalmologic exams were noncontributory. Laboratory testing showed a […]

Case Presentation: 72 year old male presented with two months of fever, night sweats and malaise. He later developed dyspnea and was hospitalised twice. CT chest revealed scattered bilateral nodular lung opacities. He had dental work done prior to symptom onset and was thus thought to have right sided infective endocarditis (IE) with septic emboli. […]

Case Presentation: Our patient is a 48-year-old female with medical history significant for hypertension who presented multiple times with recurrent intractable chest wall pain. Her history was significant for loss of appetite and weight loss of about 20 lbs in the last 2 months She had an unremarkable laboratory and imaging work up and eventually […]

Case Presentation: 19th-century scientist Rudolf Virchow is credited with outlining three factors predisposing one to the development of a venous thrombus. These factors include endothelial injury, hemostasis, and hypercoagulability. Formed thrombi can cause significant morbidity and mortality if the patient also has a concurrent patent foramen ovale (PFO), allowing the clot to pass to the […]

Case Presentation: This is a case of a 72-year-old male with Stage III metastatic melanoma. The patient was started on combination immunotherapy with ipilimumab and nivolumab three months prior. He completed three cycles of treatment. He presented to the emergency department with complaints of fatigue and lethargy. Initial assessment of vitals showed hypotension, BP 95/61 […]

Case Presentation: A 74-year-old male with a known history of hypertension, chronic kidney disease, and depression presented with 5 days of upper abdominal pain that radiated to the left chest and frequent muscle spasms. He was evaluated in the emergency department for right upper quadrant abdominal pain. Due to concerns for cholecystitis, point-of-care ultrasound was […]

Case Presentation: A 57-year-old female presented with a three-month history of confusion and weight loss secondary to decreased oral intake, with three weeks of new onset paranoia. Family reported she exhibited disorganized behavior and hallucinations, associated with urinary incontinence, unsteadiness, dysphagia, and odynophagia. Medical history was negative for psychiatric illness or STI. Her family history […]