Case Presentation: A 41-year-old man with history of depression and anxiety presented with a 6-day history of severe dysphagia, hoarseness, right ear pain, right-sided headache, and right arm pain with subjective weakness. A local ENT physician had discovered right vocal cord paralysis and referred him for further work up. In our facility basic labs were [...]

Case Presentation: A 57-year-old male with history of non-alcoholic steatohepatitis (NASH) cirrhosis complicated by recurrent hepatic hydrothorax (requiring approximately 15 thoracenteses) presented with dyspnea. Admission chest x-ray and subsequent computed tomography (CT) scan revealed a large pleural effusion with collapse of the right lower lobe. He underwent thoracentesis with removal of two liters of pink, [...]

Case Presentation: TS is a 58 year-old male with a past medical history of prediabetes, pulmonary embolism, and stage II colon cancer treated via hemicolectomy in 2016 who presented to the hospital with dyspnea and altered mental status. On exam, he was febrile to 38.6 degrees Celsius. His abdomen was distended and diffusely tender to [...]

Case Presentation: A 44-year-old female with rheumatoid arthritis, recently started on methotrexate and infliximab presented to hospital on two occasions, one month apart, with fever, malaise, night sweats and abdominal discomfort. On both occasions she was hypotensive and pancytopenic (initial WBC 2.04 K/UL, Hbg 6.2 g/dL and Plt 131 K/UL). Both admissions were also characterized [...]

Case Presentation: A 42 year-old male patient with past medical history of asthma presented to the emergency room with acute onset epigastric pain for three days. The epigastric pain worsened over time, and the patient subsequently experienced numerous episodes of vomiting and the inability to tolerate oral intake, including both solids and liquids. He described [...]

Case Presentation: A 49-year-old male with a history of OSA on CPAP, Parkinson’s disease, hyperlipidemia, and obesity presented to the emergency department with a three-week history of progressive dyspnea on exertion (DOE) and abdominal pain on exertion that radiated into his chest, neck, and jaw that resolved after rest. He had an intentional 50-lb weight [...]

Case Presentation: An 85-year-old male with a history of untreated hypertension, on aspirin, presented to the emergency department with transient right upper and lower extremity weakness. Upon presentation the National Institutes of Health (NIH) Stroke Scale was 0. Symptoms had started three days prior with right leg weakness which resolved after a few minutes of [...]

Case Presentation: A 54-year-old woman with stage IV endometrial stromal sarcoma s/p TAH, BSO, and ileocolic resection for bowel involvement, presented with acute onset of altered mental status on the evening of receiving her day 3 of cycle 3 ifosfamide infusion. On presentation, patient was tachycardic to HR 110s, afebrile, and otherwise with stable vital [...]

Case Presentation: A 33-year-old male with a past medical history of obesity, NIDDM2, OSA and HTN presented for an outpatient echocardiogram as part of routine surgical clearance for a bariatric surgery procedure. During the echocardiogram, the patient was injected with a sulfur hexafluoride lipid microsphere contrast agent (Lumason®) for better visualization of his anatomy. Within [...]

Case Presentation: 34-year-old female with no significant past medical history presented with blurry vision, weakness and dehydration after fasting for 7 weeks during which she lost about 20 pounds. On physical examination, patient was hypertensive, tachycardic, and malnourished with a BMI of 21. She was noted to have vertical and horizontal nystagmus bilaterally as well [...]