Case Presentation: A 36 year-old otherwise healthy female presented with six days of acute flu-like symptoms, myalgias, persistent fever and chills associated with abdominal bloating and vomiting for three days. Physical exam was notable for temperature of 103 F, sinus tachycardia and mild tenderness at the left upper quadrant on deep palpation. Labs were notable [...]

Case Presentation: A 62-year-old man with a past medical history of chronic obstructive pulmonary disease (COPD) and intravenous drug abuse presented to the emergency department (ED) with progressive worsening of jerky movements in his right arm and right leg which started about four months before presentation. Six months prior to his presentation, he started to [...]

Case Presentation: Reversible posterior leukoencephalopathy syndrome (RPLS) is characterized by a combination of clinical symptoms and radiographic findings. Clinical signs range from headaches and visual disturbances, to more classic seizures.1 Radiologic findings usually include vasogenic edema in the white matter of the posterior lobes of the brain, especially occipital and parietal.2 Multiple etiologies have been [...]

Case Presentation: 56-year-old male patient with PMHx of HTN, HLD, pulmonary embolism and cigarette smoking presented to the emergency department with recurrent chest pain. He described his chest pain as substernal, non-radiating, He was evaluated multiple times for ischemic etiologies of his pain and, associated with SOB but no nausea or vomiting. work up was [...]

Case Presentation: We present a case of a 42-year-old male with a past medical history of atrial fibrilation (AF) on anti-coagulation (AC) who underwent left atrial radio-frequency ablation (RFA) and pulmonary vein isolation (PVI) and presented with confusion and bilateral upper and lower extremity weakness.The patient tolerated the procedure but complained of difficulty swallowing afterwards. [...]

Case Presentation: A 87 year old female with history of Left ventricular non-compaction(LVNC), HFrEF with EF25-30%, CAD, hypertension, hyperlipidemia presented with acute dyspnea. She denied chest pain, palpitation, lightheadedness. Exam revealed tachycardia, tachypnea and hypoxia, saturating 70% on RA, but no signs of volume overload with baseline chronic lower extremity edema. Her laboratory data showed [...]

Case Presentation: 26 year old male with no history of substance use, only history of hypothyroidism status post radioactive Iodine treatment three years ago for Graves’ disease presented with three days of lower limbs pain, numbness and edema which impaired ambulation. He reported he had been doing a lot of walking at a convention when [...]

Case Presentation: A 75-year-old male with a history of HTN, CVA, and smoking, presented for follow up evaluation of his abdominal aortic aneurism. CT angiography with run-off was performed and revealed a choledochal cyst, common bile duct dilation, and a mass in the head of the pancreas with air bubbles, which represented a type III [...]

Case Presentation: 51yoM with no significant medical history presents to ED for evaluation of progressive bilaterally injected, painful conjunctiva of 1 months duration, nonproductive cough and pleuritic chest pain of 1 week’s duration. He was recently treated with moxifloxacin for conjunctivitis without improvement in symptoms. After treatment, he developed nonproductive cough associated with pleurisy and [...]

Case Presentation: 82 year-old female with a history of hypothyroidism on levothyroxine and coronary artery disease presented with 3 months of worsening generalized weakness, inability to walk, abdominal swelling, poor oral intake and 6 kg of unintentional weight loss. Review of symptoms was negative for fever, jaundice, orthopnea, dyspnea on exertion and syncope. Vital signs [...]