Case Presentation: A healthy 27 year-old woman G1P0 presented at 29 weeks gestation with three days of headaches, intermittent confusion, blurry vision, vomiting, and shortness of breath. Physical exam was remarkable for hypertension to 160/93, a Petechial rash on extremities without neurologic signs. CBC was notable for hemoglobin of 5.9, Platelets 11000 with many schistocytes. [...]

Case Presentation: A 21-year-old male with past medical history of Crohn’s disease on monthly infliximab infusion initially presented to the emergency department with a 5-day history of joint pain. He first noted left-sided pain that was only relieved by heat, but it progressed to left hip and groin pain made worse with movement. The patient [...]

Case Presentation: 75 year old with non-alcoholic cirrhosis, heart failure preserved ejection fraction (HFpEF) and recurrent abdominal abscesses presented with platypnea orthodeoxia syndrome (POS) following diuresis. His oxygen saturation was 100% when lying flat and 78-80% when upright. Trans-esophageal echocardiogram confirmed a sinus venosus defect (SVD) with partial anomalous pulmonary venous return (PAPVR) of right [...]

Case Presentation: A 60-year-old female with metastatic breast cancer presented with involuntary irregular forceful and painful contractions of facial muscles and dystonic posturing of her hands and feet lasting 5 to 30 minutes. Episodes sporadically occurred up to 20 times daily. MRI brain and spinal cord showed no evidence of metastatic disease or dural enhancement. [...]

Case Presentation: 73 year old male with solitary kidney due to prior renal cell carcinoma and splenic marginal zone lymphoma currently treated with chlorambucil presented to the emergency department with acute kidney injury. He complained of red “kool-aid” urine and lower extremity rash. The rash was non-blanching, erythematous, papular and present on his ankles and [...]

Case Presentation: A 67-year-old male with a past medical history significant for hypertension and a prior cerebrovascular accident presented with subjective 9/10 left-sided abdominal pain, systolic blood pressure >200, and tachycardia. Upon presentation, the patient experienced several episodes of asymptomatic supraventricular tachycardia. Blood work subsequently drawn showed no elevated troponins. After the second episode of [...]

Case Presentation: A 39-year-old male with a history of primary refractory T-cell lymphoblastic leukemia/lymphoma (T-ALL) complicated by superior vena cava (SVC) syndrome, and Guillain Barre Syndrome secondary to chemotherapy presented with worsening right-sided pleuritic chest pain. He denied dyspnea or difficulty during exertion. On exam, blood pressure was 106/74 mmHg, heart rate was 123 bpm [...]

Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for [...]

Case Presentation: A 48 year-old woman with a history of ulcerative colitis presented to the hospital with a rash and diffuse myalgia of one-week duration. The skin rash was painful and mildly pruritic. She had no fever, abdominal pain, diarrhea, or arthralgia. Physical exam revealed papules on the conjunctivae of her right eye and non-tender, [...]

Case Presentation: Patient is a 64 male with a past medical history of coronary artery disease who was experiencing two months of syncopal episodes with increasing frequency. Associated with these episodes were instances where he would wake up at night, face flushed and diaphoretic. He would also note bradycardia to the 30’s. He had an [...]