Case Presentation: An 80-year-old woman with a history of hypertension, pre-diabetes, chronic kidney disease (stage 3b), and remote ischemic stroke without residual deficits presented to the emergency department complaining of several hours of epigastric discomfort and malaise. An EKG revealed >1 mm ST segment elevation in leads V4-6 (Fig. 1). The troponin I was elevated […]

Background: COVID-19 cases first emerged in China in December 2019. An air of fear and anxiety engulfed the globe as it rapidly spread across borders affecting the entire human race. Media outlets started reporting information containing rising death tolls and horrific visuals generating a global hysteria(1). Stress is a well-known trigger for acute coronary syndromes […]

Case Presentation: 72-year-old male with h/o HTN, DM, obesity, polymyalgia rheumatica (on steroids), CKD stage IV, ankylosing spondylitis, and HFrEF (LVEF 45-50%) underwent total knee arthroplasty with removal of prior implant and distal femur replacement for osteosarcoma. Cut to close time was 9 hours. Intraoperatively, the SBP dipped to 90s for about 10-15 minutes after […]

Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in […]

Case Presentation: A 68-year-old male with COPD and prior lung cancer treated with chemotherapy and radiation presented with three days of progressive dyspnea, malaise, and altered mental status. On admission, he was in acute hypoxemic respiratory failure requiring BiPAP. The patient was unvaccinated against SARS-COV-2 and tested positive for the virus. He received dexamethasone and […]