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 […]

Case Presentation: A 76 y.o. female with history of chronic diastolic heart failure and poorly controlled polycythemia vera (PV) on 500 mg of hydroxyurea daily presented with 2 days of progressive difficulty breathing, sialorrhea and uncontrolled movements of the face and mouth. Due to general malaise, she stopped taking her furosemide and hydroxyurea 2 days […]