Case Presentation: This is a case of a 30 year-old female presented in acute heart failure secondary to left ventricular noncompaction cardiomyopathy (LVNC) found to have a novel sodium channel mutation. Patient with no significant medical history presented with shortness of breath and dyspnea, chest radiograph consistent with bilateral large pleural effusions, cardiomegaly, and pulmonary [...]

Case Presentation: A 68-year-old man with a history of atrial flutter and recurrent gastrointestinal (GI) bleeds (GIBs) with no clear etiology identified presented for planned direct current synchronized cardioversion.  Patient had failed multiple rate and rhythm control regimens as well as radiofrequency ablations.  He was placed on unfractionated heparin prior to cardioversion but developed recurrent [...]

Case Presentation: A 45 year old female with history of psoriatic arthritis and renal transplant from a living unrelated donor (performed in the Philippines in 2014) presented with symptoms of fever, fatigue, weakness, tremors, epigastric pain, and loose stools. At the time of presentation, she had recently completed three cycles of plasmapharesis/IVIG and one cycle [...]

Case Presentation: 16 year old girl presenting with one week of swelling over left leg was found to have DVT involving proximal femoral and iliac systems. Despite treatment with warfarin over next 6 months, there was only partial improvement in symptoms and doppler assessed recanalization. Given the poor response to anticoagulation and young age, MTS [...]

Case Presentation: 81 y/o African-American woman with PMH of NICM with LVEF of 35-40% and CKD stage 3 presented to ED with complaints of cough, increased lower extremity swelling, and progressive DOE. She endorsed noncompliance with her diet, indulging in fried chicken but compliance with her medications. During her last admission, she was noted to [...]

Case Presentation: 56 year-old morbidly obese female with no PMH presented to the hospital with acute onset of SOB, DOE, orthopnea, and lower extremity swelling with progressive worsening in the past 2 weeks. She denied fevers, chills, chest pain or recent travel. On vital signs, patient was hypertensive with an O2 sat of 94% on [...]

Case Presentation: 31-year-old male with history of polysubstance abuse and intravenous drug use presented with 8 months of chronic pain in his back, and 3 weeks of pain in his right hip rendering patient non weight bearing and with complaints of impotence. Patient reported a history of 20 pound unintentional weight loss over the last [...]

Case Presentation: A 52 y/o male presented to the ED with worsening chest pain, palpitations and lightheadedness for one week. His past medical history is significant for hyperlipidemia and type 2 diabetes mellitus. His physical examination was unremarkable. His initial electrocardiogram showed ventricular tachycardia at 218 beats/min (fig.1). He spontaneously converted to normal sinus rhythm and [...]

Case Presentation: A 29 year old African American male presented with non-radiating, mid-sternal chest pain, which was relieved by sitting up. His vital signs and physical examination were unremarkable. His initial EKG showed J point elevation in leads III, aVF, V2-V5, consistent with early repolarization changes. Overnight, his subsequent EKG showed diffuse ST elevation and PR segment [...]

Case Presentation: A 48-year-old female with a past medical history of diabetes and hypertension presented with a three-day history of stabbing chest pain radiating to the neck. Prior to the onset of symptoms, she had struck her chest on the steering wheel of a bumper car at an amusement park. She also endorsed getting a [...]