Case Presentation: 56-year-old male with a history of squamous cell cancer of forehead s/p Mohs surgery who was admitted from the outpatient cardiology stress lab after his EKG revealed complete heart block. Baseline TTE done during the initial part of the stress test revealed LVEF25-30%. Patient was asymptomatic on admission, hemodynamically stable with no laboratory [...]

Case Presentation: 74-year-old female with history of heart failure, hypertension, diabetes, CKD Stage 3, obstructive sleep apnea, and COPD (2L O2 baseline) presented with weakness and shortness of breath for the last few days. She also endorsed having weight gain, despite a decrease in appetite. Apart from this, she reported a recent tick bite. On [...]

Case Presentation: A 69 year old gentleman with benign essential tremor presented with one month duration of progressive cognitive decline and confusion. One month prior, the patient was a fully functional dentist who partook in recreation deer hunting. The patient quickly demonstrated marked personality changes, short term memory loss and jerking myoclonus with tremulousness. Family [...]

Case Presentation: A 40 year old recently immigrated Indian male with medical history significant for two episodes of hemorrhagic dengue fever presented with a three day history of epistaxis, gingival bleeding, hematuria, hematochezia and a vesicular rash. On presentation, the physical exam was remarkable for a large mucosal hematoma, gingival bleeding, and diffuse hemorrhagic vesicular [...]

Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior [...]

Case Presentation: A 41- years- old male with no medical problems but daily alcohol and tobacco abuse developed sudden right and then left foot pain with swelling 2 weeks before admission. Diagnosis of gout was diagnosed at another hospital and he was treated with steroids with no symptom relief; the right wrist swelling prompted empiric [...]

Case Presentation: A 69 year old male with COPD and a 6-year history of a slowly progressing left upper lobe cavitary mass presented to our hospital with new hemoptysis. CT angiogram showed the cavitary mass infiltrating into an artery, as well as a pseudoaneurysm in the left lower lobe consistent with mycobacterial invasion of the [...]

Case Presentation: A 44-year-old Ugandan man with a history of HIV/AIDS on Bictegravir-Emtricitabine-Tenofovir Alafenamide presented with fevers and abdominal pain. Past medical history was significant for HIV/AIDS previously complicated by CNS Toxoplasmosis. Physical exam was notable for diaphoresis, diffuse lymphadenopathy, and abdominal distension. Laboratory values were significant for viral load 520 copies/mL and CD4 count [...]

Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss [...]

Case Presentation: A 60-year-old woman with past medical history of Systemic Lupus Erythematous (SLE) on daily mycophenolate mofetil and hydroxychloroquine, Antiphospholipid Syndrome on warfarin, history of aneurysm s/p clipping and diabetes presented to an urgent care clinic due to severe headache and dizziness. During examination, she was noted to have hesitancy with neck flexion, prompting [...]