Case Presentation: A healthy 57 year old male presented to the ER with history of sudden sub-sternal chest pain, with radiation to both the upper extremities, 10/10 in intensity at its worst and associated with shortness of breath. The patient had history of similar episodes of chest pain over the last several months which had increased in [...]

Case Presentation: A 48-year-old physically active woman presented with acute-onset, severe, retrosternal chest pain radiating to her arms and back. The pain started during an intensive CrossFit workout, in which she ran up nineteen flights of stairs as fast as possible. She had been hospitalized a few months earlier after an episode of mild chest [...]

Case Presentation: A 65 year old male with a history of diabetes mellitus type II complicated by neuropathy presented with profound facial and oropharyngeal edema after ingesting his usual medications. He was hemodynamically stable and without urticaria on exam. The patient could not speak and his airway was deemed compromised, so he underwent urgent nasopharyngeal [...]

Case Presentation: An asymptomatic 27 year-old male with no past medical history presented with an incidental finding of a IV/VI systolic ejection murmur best heard at the left lower sternal border with parasternal heave. Physical examination was otherwise unrevealing with no lymphadenopathy. A subsequent transthoracic echocardiogram revealed a 4 cm by 2.5 cm intracardiac mass [...]

Case Presentation: A 61-year-old African American male with history of recent atopic dermatitis treated with topical corticosteroids presented with 4 days of fevers, night sweats and worsening exertional dyspnea. On admission, he was febrile with decreased left lower lobe breath sounds. CT showed a moderate left-sided pleural effusion and left upper lobe cavitary lesion. The differential included both infectious and malignant etiology [...]

Case Presentation: A 36-year-old Caucasian male, a construction worker, presented with three weeks of high-spiking daily fevers, myalgias and fatigue. He endorsed a water-skiing trip, and tick and dog bites within recent weeks. He was discharged two days prior from an outside hospital (OH), where he was treated for possible pneumonia or a tick-borne illness [...]

Case Presentation: A 45 year-old woman presented with 4 hours of lower back pain, after a fall from standing. She did not report a loss of consciousness, and did not injure her head. She had no neurological deficits, nor bladder of bowel dysfunction. She denied any chest pain or dyspnea. A standard 12 lead EKG [...]

Case Presentation: A 94-year-old man with no significant past medical history presented to the Emergency Department with a two week history of progressively worsening constipation accompanied by nausea, vomiting, and abdominal pain. He denied any hematochezia, melena, change in stool caliber or unintentional weight loss. He had never undergone a colonoscopy. He had tried stool [...]

Case Presentation: A 30-year-old male with type two diabetes mellitus and morbid obesity presented with one month of generalized weakness, fatigue and fever. This was his third hospitalization with these same symptoms; no definitive diagnosis was identified the previous two. He also complained of headache, a dry cough, and upper abdominal pain. Pertinent exam findings [...]

Case Presentation: 43 year old male with history of HTN and HLD presented to the emergency room with abdominal pain, nausea, vomiting, and tongue numbness two hours after ingesting one centimeter of “Jamaican stone”. He reported more than ten episodes of non-bloody, non-bilious emesis. He denied chest pain, shortness of breath, headache, fevers or chills. Vital [...]