Case Presentation: A previously healthy 43-year-old AAM presented with weakness and dyspnea for 6 hours. Patient suddenly developed dull neck pain while resting at home. Hours later the pain progressed to weakness and aching in all extremities, trunk, and abdomen. He woke gasping for air secondary to chest tightness and noted having dark brown urine. [...]

Case Presentation: A 45-year-old male with a history of smoking and hypertension presented to his primary care provider for progressive left-sided pleuritic chest pain without night sweats or fever and reported 2 months of intentional weight loss with diet and exercise. He was sent for an outpatient CT which revealed splenomegaly of 16x19cm with possible [...]

Case Presentation: Hemolytic anemia secondary to pernicious anemia is fairly uncommon, and not well described. We present a case of a 39-year-old healthy male with no significant medical history, who presented to the ED for evaluation after a near syncopal episode, along with 2 weeks history of fatigue. In the ED, vitals were unremarkable. Physical [...]

Case Presentation: We introduce you to a 57-year-old woman with a past medical history of one pack per day of smoking for 20 years, and a premature history of CAD in her father. The patient presented to the emergency department with severe, pleuritic chest pain that began 4 days prior to admission.  The patient described the pain as sudden [...]

Case Presentation: A 64-year-old female presented to the hospital with 2 days of nausea, vomiting, and diarrhea. She had no recent sick contacts, travel history, or antibiotic use. Her medical history was notable for Hereditary Hemorrhagic Telangiectasia (HHT) complicated by epistaxis refractory to medical and surgical interventions, bleeding gastric ulcers, pulmonary hypertension, and hepatic arteriovenous [...]

Case Presentation: A 57-year-old man with decompensated cryptogenic cirrhosis and chronic kidney disease who was listed for simultaneous liver and kidney transplantation presented with two days of anorexia and malaise. He reported associated nausea, vomiting, and progressive weakness. He denied fever, confusion, cough, abdominal pain, dysuria.Vital signs were normal. He was fatigued, jaundiced, and chronically [...]

Case Presentation: A 73 year old female presented with acute onset of recurrent falls lasting for 1 week. On day 2 of her hospitalization, hematuria with dysuria was present, which was treated as an UTI. Physical examination revealed progressive ascending weakness from lower to upper extremities with decreased reflexes bilaterally. She also developed urinary retention [...]

Case Presentation: An 87-year-old female with a history significant for hyperlipidemia on high-intensity atorvastatin for 6 months, multinodular goiter, Raynaud’s disease, spinal stenosis with peripheral neuropathy presents with 3 days of decreased appetite and bilateral lower extremity pain. Her COVID RT-PCR screen was positive, but the patient denied cough, shortness of breath, fever, or diarrhea. [...]

Case Presentation: An otherwise healthy 69-year-old woman was admitted to the hospital with a 3-month history of progressive dyspnea on exertion and anasarca following out-patient transthoracic echocardiography (TTE) demonstrating a large pericardial effusion and early signs of cardiac tamponade based on exaggerated mitral inflow velocity with respiration. Physical exam revealed jugular venous distension and a [...]

Case Presentation: A 53-year-old male with a past medical history of alcohol abuse presented to the emergency department after a presyncopal episode following new onset of hematemesis and black, tarry stools. He additionally had sharp, bilateral chest pain that was present at rest with no radiation or worsening with exertion. Upon presentation he was hypotensive, [...]