Case Presentation: A 36-year-old male presented to the emergency room with complaints of fever, exertional dyspnea, chest pain, and fatigue for two days. He describes his chest pain as sharp, substernal, and aggravated by lying down or inspiration. He denied any previous viral infection, cough, skin rashes, or joint involvement. He states that he has [...]

Case Presentation: A 27-year-old man with a family history of Grave’s Disease presented with acute onset pleuritic chest pain and associated shortness of breath. The patient endorsed subjective fevers and myalgias for one day prior to admission. Vital signs were significant for a heart rate of 110, otherwise unremarkable. Initial work-up showed troponin elevation to [...]

Case Presentation: The patient is a 31 year old male with a medical history of HIV on antiretroviral therapy who was seen in the emergency department for chest pain and dyspnea, then discharged after a negative cardiac workup. He re-presented two days later with worsening chest tightness, dyspnea, and vomiting. On examination, the patient was [...]

Case Presentation: A 49-year-old Caucasian woman presented to the emergency department with fever, shortness of breath, chest pain, and abdominal pain. She had a five-to-six-month history of intermittent bilateral arthralgias in her knees, shoulders, and wrists. Physical exam was remarkable for a positive Murphy sign. Chest CT, and CXR showed an enlarged cardiac silhouette, with [...]

Case Presentation: A 12-year-old girl presented to her pediatrician with 1.5 weeks of constant, non-exertional, nighttime chest pain and dyspnea. Initial chest x-ray was negative, electrocardiogram (EKG) showed sinus tachycardia and ST changes prompting urgent referral to a cardiology clinic, where repeat EKG showed persistent sinus tachycardia, diffuse ST elevations, and reciprocal PR depression consistent [...]