Case Presentation: A 73-year-old female with coronary artery disease, biventricular systolic heart failure requiring implantable cardiac defibrillator (ICD), paroxysmal atrial fibrillation (A-fib) treated with amiodarone for 2 years presented with abdominal pain, nausea, loss of appetite for 1 month. She also reported a recent ICD discharge. Initial vital signs were remarkable for a blood pressure [...]

Case Presentation: The patient is a 60-year-old male with chronic mixed systolic and diastolic heart failure, Chronic Obstructive Pulmonary Disease (COPD), and Obstructive Sleep Apnea (OSA) who was admitted to general medicine due to a 4-week history of progressive dyspnea and lower extremity edema, concerning for a heart failure exacerbation. Eight days into his hospital [...]

Case Presentation: A 26-year-old male without past medical history presents with complaints of dark brown urine and diffuse muscle pain for the past 24 hours. He was noted to have a creatine phosphokinase was noted to be >100,000 units/L. He denied any preceding symptoms including mononucleosis-like symptoms, no heavy exercise, traumatic injury, or travel. He [...]

Case Presentation: A 22-year-old male with history of diabetes mellitus type I presents with 3 weeks of right inguinal pain with CT scan which showed a enlarged lymph node measuring 3.5 cm x 2.8 cm which was subsequently biopsied and showed necrotizing granulomatous lymphadenitis. He then presented with status epilepticus approximately 1 week after his [...]

Case Presentation: A 30-year-old male with history of illicit drug abuse presents with refractory ventricular tachycardia (VT) and Torsades de Pointes (TdP). He was previously in a methadone program but was dismissed due to methadone abuse. He then started significant amounts (144 tablets; 288 mg) of loperamide to achieve euphoria. He presented to the ED [...]

Case Presentation: 48-year-old African American (AA) male with history of Non-ischemic cardiomyopathy on milrinone (EF: 15%), after CHOP therapy for his lymphoma, diabetes mellitus, polysubstance abuse was admitted with an acute exacerbation of chronic systolic heart failure with cardiogenic shock. He was being managed with milrinone drip and lasix in the CCU and considered a [...]

Case Presentation: A 64 year-old woman with no significant past medical history presented with nausea, vomiting, 50 lb. weight loss and generalized weakness for the past 6 months. Her primary care physician had prescribed treatment for possible reflux; symptoms did not improve. Three months prior, the patient was admitted to a community hospital where CT [...]

Case Presentation: A 49-year-old healthy man presented to the emergency department with a two-year history of left inguinal pain that had been increasing in frequency and severity, to the point where he experienced difficulty with ambulation. He denied fevers, chills, weight loss, weakness or numbness in the extremity. Physical exam revealed a palpable left groin [...]

Case Presentation: A 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was [...]

Case Presentation: The patient is a 56-year-old Caucasian male who presented from an outside hospital (OSH) for recurrent chylous ascites. Four years ago, he was diagnosed with unprovoked left subclavian and left internal jugular deep vein thromboses (DVTs) and had been placed on chronic warfarin therapy. At that time, he developed chylous ascites which resolved [...]