Introduction: Right bundle branch block with ST-segment elevation in leads V1 through V3 is the electrocardiographic (ECG) marker of the Brugada pattern. The Brugada pattern was first described as a genetically, autosomal dominant, determined disease caused by mutation in the sodium channel. However over time, the Brugada pattern has also been reported to be transient, [...]

Case Presentation: 68 year old male presented with sudden onset of fever, chills, left neck pain, left arm pain and dysphagia to solids and liquids. The pain was described as stabbing and radiated to the upper chest and back. Vital signs were remarkable for a fever of 102.7o F and a heart rate of 120 [...]

Case Presentation: This is a 76 year-old female with no significant past medical history who presented to her primary care physician for evaluation of changes in visual acuity and color perception. Two months after initial presentation she was referred to see an ophthalmologist who noted bilateral papilledema. An MRA, MRV, and MRI were obtained without [...]

Case Presentation: A 26 year old female with a history of intravenous drug use (IVDU) presented to the hospital with a one week history of fevers, chills, and body aches. In the emergency department the patient was febrile to 38.4 Celsius with a grade III/VI holosystolic murmur heard best at the left lower sternal border. [...]

Case Presentation: The patient is a 57 year old Hispanic male with history of AIDS who presented with two weeks of left flank pain, fatigue and fevers. Physical exam showed mild tenderness of the left flank. Labs showed a chronic anemia and an absolute CD4 count of 111. Kidney function was normal, and urinalysis was [...]

Case Presentation: Klebsiella Pneumoniae is a gram-negative bacterium known to cause pneumonia and urinary tract infections. The hypermucoviscosity phenotype of K. pneumoniae is commonly tested for using the string test. Clinical studies have shown an association between the hypermucoviscosity phenotype and a highly virulent tissue abscess syndrome, causing liver abscesses, endophthalmitis and septic thrombophlebitis. Most [...]

Case Presentation: A 70-year-old male presented to emergency room with 4 days of sharp chest pain and shortness of breath. Patient had a history of adenocarcinoma of lung and underwent VATS procedure 3 months ago. He had chronic pain since the procedure, however in the last 4 days, he felt progressively worse. His other past [...]

Case Presentation: A 26-year-old male presented with a 6-hour history of anterior neck pain and swelling. Symptoms started few minutes after he had dinner (tuna and a carbonated beverage). Otherwise, he denied any recent illness, trauma or intake of unusual substances and had no other past medical history. On exam, he was afebrile and hemodynamically stable. [...]

Case Presentation: A 26-year-old female was found confused wandering on the streets. On exam, she was confused, not oriented to place or self, looked dehydrated but had no other significant findings. On basic labs, she was found to have creatinine of 4.7 mg/dl (0.6-1.1 mg/dl), calcium of 14.2 mg/dl (8.5- 10.3 mg/dl). Urine toxicology was negative. [...]

Case Presentation: A 50 year-old-female presented with severe right thigh pain which was getting progressively worse over 2 weeks. She had no history of fever, chills, trauma, travel or recent immobilization. Patient had a longstanding history of hypertension, poorly controlled diabetes type 2 and asthma. On exam, right anterior thigh was swollen, extremely tender to palpation and [...]