Case Presentation:  An 83 year old male presented with new onset shortness of breath, generalized weakness and fatigue for 4 days. Physical examination revealed mild hypotension and diminished heart sounds. Chest radiology showed enlargement of cardiac silhouette. A transthoracic echocardiogram was significant for large pericardial effusion suggestive of an early tamponade. The patient underwent a [...]

Case Presentation: A previously independent and active 89-year-old male without past medical history was brought to the hospital by his son with a 6-day history of progressively worsening confusion. Per the son, the patient lived alone on a 10-acre property that included fruit orchards, a fishing pond, and 100 acres of surrounding woodlands on which [...]

Case Presentation: A 38 year-old female with history of asthma presented to the emergency department (ED) with symptoms of progressive dyspnea, wheezing, and dry cough, consistent with asthma exacerbation. In the ED, she was treated with continuous albuterol nebulizer for nearly 8 hours along with intravenous methylprednisolone.  Her clinical status worsened with increased work of [...]

Case Presentation: Hydatid cyst, also termed as Echinococcal cyst, is caused by the tapeworm, Echinococcus. Echinococcus granulosus is the most common specie to cause cystic disease.  The cyst can be found in any site of the human body, with the liver being the most common area. Though uncommon in the United States, we report a [...]

Case Presentation: A 61 year old female with history of metastatic breast carcinoma presented to the hospital for an elective vertebral cryoablation and kyphoplasty to treat her painful bony metastasis. She has known vertebral lytic lesions in addition to a suspected right adrenal involvement. On the first day, cryoablation was performed uneventfully under general anesthesia. [...]

770,000 people are admitted due to adverse drug events annually, with an annual cost of 5.6 around million dollars per hospital, making the patient’s medication list an object of scrutiny. Olmesartan is an angiotensin receptor blocker used as an antihypertensive in around1.9 million patients. We describe a patient with long-standing constipation who was ultimately diagnosed [...]

Case Presentation: A 59yo woman with past medical history of Diabetes Mellitus, Hypertension and hyperlipidemia presented to her primary care physician with a 2 week history of acute onset left sided chest pain and difficulty with deep inspiration.  Chest X-ray was suggestive of atypical infection; she completed a course of oral antibiotics, but symptoms and [...]

Case Presentation: A 21 year-old man on the rehabilitation service was evaluated for fever and headache. Approximately 1 year previously he was found to have a posterior fossa medulloblastoma that was resected and repaired with a bovine duragraft. Post-operative MRI showed no abnormal contrast enhancement and a lumbar puncture (LP) was unremarkable. Brain and spinal [...]

Case Presentation: A 26 year-old Ecuadorian woman presented with 3 months of enlarging neck masses.  A few years prior to presentation, she noticed small lumps on the right side of her neck, which were stable and asymptomatic until 3 months prior to arrival, when they began to grow in size and became painful. These symptoms [...]

Case Presentation: A 38-year-old female with no significant PMH presented with diarrhea, chills, and hematuria. One week prior to admission, she developed profuse, watery, non-bloody diarrhea three hours after consuming raw oysters. The next day, she developed headache and chills. She presented to the ED four days prior to admission, treated with IVF, and discharged [...]