Background: ST-segment elevation myocardial infarction (STEMI) is a cardiac emergency that requires timely reperfusion preferably with cardiac catheterization. The coronavirus disease-2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV2), has adversely impacted the delivery of healthcare to patients with STEMI. Several process changes were observed across the world during this period, including alternative cardiac […]

Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]

Case Presentation: The patient is a 27-year-old male with lupus anticoagulant with hypoprothrombinemia syndrome (LAHPS)/triple positive antiphospholipid syndrome (APLS) in the setting of systemic lupus erythematous (SLE) and immune thrombocytopenia (ITP) on hydroxychloroquine, mycophenolate mofetil (MMF), and prednisone for immunosuppression, who presented to the ER with worsening right upper quadrant and epigastric pain. RUQ US […]

Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm […]

Case Presentation: An 88 year-old woman with a history of atrial fibrillation, hypertension, anemia, and mild thrombocytopenia presented to the emergency department with diarrhea, nausea, pre-syncope, and weakness. She had diarrhea for the last 1-2 years, but had worsened over the previous few weeks, with 10-12 loose stools per day. She also reported early satiety […]

Case Presentation: A 53-year-old woman with a history of systemic lupus erythematosus (SLE) not on immunosuppressive therapy presented with confusion and body rash. She was discharged 2 weeks prior, following admission for bacterial meningitis and brain abscess; her abscess was drained with negative cultures, and she was discharged with a prolonged course of ceftriaxone and […]

Case Presentation: A 25-year-old female patient presented to the hospital with intermittent fever and frontal headache for the past month and sudden onset bilateral lower limb sensorimotor weakness along with sphincter dysfunction for the past 2 days. There was no history of neck rigidity or back pain. No incidence of trauma, dizziness, or loss of […]