Case Presentation: A 61-year-old man presented to the emergency department with one-month history of intermittent lightheadedness and dizziness. His symptoms were worse when standing from sitting position. He denied vomiting, diarrhea, and his appetite was stable. His past medical history was remarkable for IgM multiple myeloma for which he underwent stem cell transplant a year [...]

Case Presentation: A 59-year-old woman with history of chronic kidney disease stage 4 was admitted to the hospital for further management of shortness of breath. She complained of worsening leg swelling and progressive orthopnea. Diagnostic studies showed significantly elevated creatinine and chest X-ray was remarkable for pulmonary edema. Patient was managed for fluid overload secondary [...]

Case Presentation: A 19-year-old female with a history of Atrial Septal Defect (ASD) repaired in 2015 was placed on Flecainide 50mg bid for atrial tachycardia.  After 4 months of uneventful therapy, she presented with nausea, dizziness, and chest discomfort. She was significantly hypotensive and tachycardic and was emergently intubated. EKG demonstrated a wide complex tachycardia [...]

Case Presentation: A 68 year-old female with history of diabetes mellitus, chronic kidney disease, morbid obesity, and pulmonary embolism on Warfarin presented with shortness of breath and anasarca. Initial labs showed acute kidney injury (Creatinine 8.11 mg/dL, compared to baseline 3.0-3.2 mg/dL). After failing diuresis, hemodialysis (HD) was started. Two weeks after HD initiation, patient [...]

Case Presentation: We report here a case of a 33 year old African American female with a history of neurofibromatosis, who presented for an elective cardiac catheterization after having an abnormal stress test showing an apical perfusion defect. The left main coronary artery was not able to be cannulated on cardiac catheterization. The left anterior [...]

Case Presentation: A 45-year-old Hispanic female presented with four weeks of high-grade fever and polyarthralgias, and one week of sore throat and night sweats. She visited an urgent care center and laboratory evaluation revealed white blood cell count 4.6K/uL with 48% bands and lactate dehydrogenase 953 U/L. Serum and urine protein electrophoresis revealed no monoclonal [...]

Case Presentation: A 45 year-old man with no past medical history presented with recurrent nausea, vomiting, and abdominal pain. He had previously been admitted for nausea and vomiting and was diagnosed with gastritis and discharged home with pantoprazole. It initially improved but he began experiencing postprandial nausea and vomiting again 3-4 weeks ago. His intermittent [...]

Pneumopericardium is a medical condition in which air is present within the pericardial space.  This condition has been recognized most commonly in preterm neonates. In adults, pneumopericardium may occur spontaneously or in conjunction with hemopericardium or pericardial effusion. Also, it may follow penetrating wounds to the chest or upper abdomen, or wounds or fistulous communications [...]

Cardiac involvement in systemic lupus erythematosus (SLE) is very common. Despite the relative frequency of pericarditis and pericardial effusions which occur in more than 50% of SLE patients, cardiac tamponade is rare and is seen in less than 3%. Additionally, there have been no consistent reliable predictors of tamponade development in such patients. We report [...]

Case Presentation: A 65-year-old woman was admitted to our hospital because of episodes of altered mental status and high blood pressure. Forty days prior to admission, the patient was taken to the emergency department with an altered mental status and hypertension. Her blood pressure was 226/129 mmHg, while her blood glucose level was 48 mg/dL. [...]