Case Presentation: Exercise-induced chest pain is a hallmark of coronary artery ischemia. When unusual ischemic symptoms predominate however, they point to rare extrathoracic vascular compression syndromes. A 28-year-old Caucasian man reported worsened daily left-sided chest and abdominal pain. The pain was chronic, of pressure-like quality, constant but worsened by exertion and mostly by eating resulting in [...]

Case Presentation: A 36 year old female patient presented to the hospital with progressive shortness of breath for the last several months. She denied chest pain, fever, or syncope. Her blood pressure was 133/77 mmHg with a pulse rate of 80 beats per minute, a respiratory rate of 18 breaths per minute, an oxygen saturation [...]

Introduction: Methemoglobinemia is a rare, potentially life-threatening medical condition that occurs due to increased methemoglobin production or decreased elimination and can be hereditary or acquired. Methemoglobin is a derivative of hemoglobin in which the normal ferrous iron state (Fe2+) is oxidized to the ferric state (Fe3+.) These ferric heme molecules are unable to bind oxygen, [...]

Case Presentation: A 67-year-old man with a history of previously treated prostate cancer presented with two weeks of low back pain. The pain had progressed and was now associated with bilateral lower extremity shooting pain and weakness. He denied bowel or bladder incontinence or saddle anesthesia. He was found to be afebrile with normal vital signs, poor dental [...]

Case Presentation: A 66-year-old woman with a past medical history of scleroderma, inflammatory lung disease, and remote bilateral breast cancer status post bilateral mastectomy and chemotherapy was admitted for lung biopsy. The patient developed flu-like symptoms and was started on oral antibiotics after she was seen in an urgent care clinic. Despite this, she developed [...]

Case Presentation: A 68-year-old woman with a past medical history of hypertension and relapsing Thrombotic Thrombocytopenic Purpura (TTP) presented with acute kidney injury. She was diagnosed nine years ago with TTP and had three subsequent relapses; the last episode was seven years ago. She had undergone treatment with steroids, rituximab, and plasmapheresis. She was incidentally [...]

Case Presentation: A 61 year-old woman presented with unbearable weakness and muscle aches that progressed over the past two weeks. The patient was seen in clinic the day prior for these symptoms and overall lethargy to the point of inability to stand or walk. On examination, she had generalized weakness, dry skin, a flat affect, [...]

Case Presentation: A 73 year-old man had two episodes of syncope on post-operative day one following a left total hip arthroplasty. The episodes occurred with physical therapy as he sat on the side of his bed. They were preceded by dizziness and hypotension following the events. He had no associated chest pain or shortness of [...]

Case Presentation:  A 64 year old woman with a history of diabetes and hypertension presented to hospital with lethargy and disorientation to time, place and person. The vitals were: BP 232/127 mm Hg T 102.7°F PR 120 bpm RR 22. One week prior, she was diagnosed with a left otitis externa and received treatment with [...]

Case Presentation: This is the complicated and unusual story of a 41-year-old white female and mother of two children with a prior history of hypertension. Over the span of 2 months, the patient’s family noticed increasing irritability as well as unusual behavior. This culminated in a one-week period during which the patient presented to the [...]