Case Presentation: A 71 years old female with a history of hypertension presented with nausea, vomiting, and fall. She had non-bloody, non-bilious emesis after eating pork 2 days prior to admission. She worked in a kindergarten with no definitive sick contacts. She did not have abdominal pain or diarrhea but she experienced lightheadedness. She was […]

Case Presentation: A 74-year-old man presented with chronic complaints of dysphagia to solids for 20 years associated with choking, regurgitation, postprandial cough and shortness of breath. Clinical evaluation revealed tolerance to liquids with persistent globus sensation, and difficulty swallowing solids, requiring concomitant liquid intake. Video-fluoroscopic modified barium swallow did not show evidence of aspiration. Considering […]

Case Presentation: A Korean 55-year-old female with a history of leiomyoma and kidney stones presented to the emergency department with abdominal pain. Further work up also showed new onset anemia. A pelvic exam demonstrated a large distended fibroid protruding into the vagina. Pelvic MRI noted a large multilobulated complex mass, consistent with a uterus replaced […]

Case Presentation: A 78-year-old woman with medical history of atrial fibrillation, hypertension, hyperlipidemia, and osteoporosis presented with left lower extremity weakness and left thigh numbness. The patient was walking when she felt lightheaded and developed left thigh tingling followed by left leg weakness. She presented the next day unable to walk independently. On physical exam […]

Case Presentation: A 41-year-old female smoker with no known past medical history presented with gradual onset dry eyes and blurry vision that progressively worsened over the course of 3 months. She developed right eye bulging with pain and diplopia. She denied other symptoms of thyroid dysfunction. Examination showed right eye proptosis, superior eyelid retraction, mild […]

Case Presentation: A 25-year-old woman with no significant past medical history presented for a three-day history of fevers to 39.9 Celsius, frontotemporal headaches, and diffuse myalgias. She reported working outdoors for a summer camp without known insect or tick bites. Physical exam was notable for tenderness with neck flexion, nuchal rigidity, and abdominal tenderness to […]

Case Presentation: A 48-year-old female with a past medical history of opioid dependency and right hip arthroplasty presented with complaints of fevers and purulent drainage at her surgical site. Pertinent exam findings included fever, tenderness, and erythema on her right hip. Initial creatinine, bicarbonate, and magnesium were within normal limits. She underwent irrigation and debridement […]

Case Presentation: A 25-year-old male without medical history presented with right sided throat pain, fever and chills for 3 days. He also had a painful swelling behind his left ear for 4 weeks. In the emergency department, examination showed an erythematous and edematous right tonsil with local mass effect on the uvula with left-sided displacement […]

Case Presentation: Contradictory to stroke prevention by left atrial appendage occlusion (LAAO) device, we present a case of a gentleman who suffered an air embolic stroke in the right fronto-temporal region during the procedure. 66-year-old male with a history of atrial fibrillation was undergoing LAAO device procedure. Air was noticed in his left ventricle which […]

Case Presentation: A 54-year-old woman presented with six months of diarrhea and weight loss, and three months of abdominal distension. Her abdomen was distended and diffusely tender to palpation. Initial labs were notable for an albumin of 3.4 with normal bilirubin, AST, and ALT. Cross-sectional imaging demonstrated large ascites without evidence of liver pathology or […]