Case Presentation: A 77-year-old male with a history of coronary artery disease and hypertension presented to the emergency department with progressively worsening sore throat, difficulty speaking, and odynophagia for one day. On initial assessment, the patient was in no respiratory distress. However, with an hour of presentation, he developed respiratory distress. Examination revealed tachypnea, stridor, [...]

Case Presentation: A 52-year-old African American woman presented to her local hospital with a 3-week history of headache and diplopia without an inciting event. At that time, she was treated symptomatically and discharged. After persistent symptoms and new onset imbalance, neck stiffness, vomiting, and blurry vision, she reported to a second hospital. Her past medical [...]

Case Presentation: A 77 year old man with a history of first degree heart block, hypertension, type II diabetes, and alpha thalassemia trait presented with one day of lightheadedness and palpitations. Several days of fatigue, myalgias, sore throat, rhinorrhea, and headache preceded his symptoms. His exam was notable for bradycardia but was otherwise normal. Labs [...]

Case Presentation: Introduction:Hiatal Hernia is a common condition. Hiatal hernias rarely cause cardiac symptoms such as dyspnea and chest pain. Here we present an extremely rare case of a giant hiatal hernia causing typical chest pain and actual ST-segment elevations in inferior leads of EKG. Case ReportThis is a case of 76-year-old female who presented [...]

Case Presentation: Autoimmune myopathies are rare diseases, with a prevalence of just 9–14 cases per 100,000 people and only about 10% of these have Immune-mediated necrotizing myopathy (IMNM). Instead of muscle biopsy, recent guidelines describe IMNM based on antibodies. Here we present a case of Anti-SRP myopathy, a rare subtype of IMNM.This is a case [...]

Case Presentation: A 75 year-old woman with a remote history of breast cancer and macrocytic anemia presented to the Emergency Department with chills, poor appetite and painful bilateral lower extremity rash for 3 days. Her vital signs were within normal limits and examination was most notable for non-blanching scattered purpuric macular lesions of her lower [...]

Case Presentation: A 65-year-old woman presented with acute bilateral hearing loss and pedal weakness and numbness. Vital signs were within normal limits. Physical exam was significant for 0/5 strength of dorsiflexion bilaterally and reduced touch sensation over the dorsal aspect of both feet; hearing was diminished, right greater than left. Initial labs were unremarkable. CT [...]

Case Presentation: We present a 71-year-old male with stage IV melanoma on cycle 17 of Nivolumab admitted after presenting with altered mental status, hypotension, tachycardia, fever of 40.5°C, hypoxia requiring BiPAP, and grade 3 maculopapular rash. Labs revealed serum creatinine of 1.68, platelet count of 86, fibrinogen of 260, PT 11.2, PTT 42, d-dimer > [...]

Case Presentation: A 30-year-old man presented for evaluation of multiple episodes of recurrent non-bloody, watery diarrhea and abdominal complaints. Initially seen in clinic, he was well appearing, with normal lab work (CBC, BMP, TSH, TTG IgA, CRP), but given the subacute timeframe of his diarrhea (2-3 weeks) he was referred to a gastroenterologist. Further testing [...]

Case Presentation: This is a 32 year old female with no significant past medical history who presented with diffuse, constant, dull abdominal pain. She denied any associated diarrhea, fever, chills, night sweats, or weight loss. Her social history was significant for immigrating from Trinidad when she was eight years old. She had previously been admitted [...]