Case Presentation: A 56 year old black male with past medical history including seizure disorder, hypertension, asthma presented to the hospital with syncope. He was just discharged earlier that day after being admitted for dizziness secondary to supratherapeutic levels of his dilantin. On the day of discharge, his dilantin level was still elevated at 24.5 […]

Case Presentation: 72-year-old Caucasian woman with PMH of cervical spinal stenosis presented with one-month history of worsening generalized weakness and soreness in all her extremities. Three months prior she had complained of persistent headaches for which she took ibuprofen with limited relief. Suspected of having GCA based on ESR 75 mm/hr with no biopsy at […]

Case Presentation: 41-year-old Hispanic man presented for reevaluation of the swellings on his forearms newly associated with Raynaud’s phenomenon on his fingers. He initially presented 5 years prior with swellings on his forearms and groin, red eyes, dry eyes and dry mouth all worsening over a 6-month period. On initial physical exam, he was found […]

Case Presentation: Fifty-six year old Caucasian male with a past medical history of coronary artery disease status post nineteen stents as well as coronary artery bypass graft, hypertension, hyperlipidemia, obstructive sleep apnea presented to the E.D. for dyspnea on exertion for one week duration. Vital signs were within normal limits. Physical examination was positive for […]

Case Presentation: A 33-year-old Caucasian woman presented with increasing fatigue, palpitations and shortness of breath for the previous three weeks. She had a history of iron deficiency anemia, gluten sensitivity, and compensated anorexia. One month prior to admission, she received two doses of intravenous ferric carboxymaltose (FCM) supplementation. Upon evaluation, vitals were BP: 134/69 mmHg, […]

Case Presentation: 74-year-old patient with a past medical history of hypertension, COPD, and metastatic squamous cell carcinoma of the lung, started on Pembrolizumab presented to the hospital with a pre-syncopal event. Patient was noted to be febrile, dyspneic and tachycardic. Patient was thought to have a pneumonia based on Xray findings and symptoms and was […]

Case Presentation: A 31-year-old male with no medical history presented with palpitations and chest pain for 30 minutes. The patient is a resistance trainer, who exercises 4 hours daily and regularly uses Performix™ supplement prior to exercising. He had spent 40 minutes biking wearing an oxygen-deprivation training mask (ODTM), when he experienced lightheadedness, dyspnea, severe […]

Case Presentation: A 50-year-old African American male with history of supraventricular tachycardia presented after an episode of chest pain and syncope. He endorsed progressive exertional dyspnea, paroxysmal orthopnea, and worsening abdominal swelling of several weeks duration. Exam findings included jugular venous distention, crackles to mid lungs, distended abdomen, and bilateral +3 pitting edema. EKG had […]

Case Presentation: A 33 year old Israeli male with no medical history presented with fevers for 2 weeks after traveling to Guatemala. Nine days after his arrival to Guatemala, the patient developed rigors and daily fevers up to 102 ͦF. He reported associated malaise, headaches, rhinorrhea, sore throat, dry cough, nausea, joint and muscle aches; […]

Case Presentation: A 64 year-old female with a past medical history of GI hemorrhage, and alcohol abuse, was brought to the emergency room for unresponsiveness. Prior to arrival, she underwent esophagogastroduodenoscopy (EGD), under sedation with propofol, for the evaluation of GI hemorrhage, with dilatation of incidentally found esophageal strictures. She did not regain consciousness following […]