Case Presentation: A 27-year-old G6P4 female at 28 weeks of gestation presented with fever, headache, myalgias, nausea, vomiting, and diarrhea. Medical history was significant for polysubstance use, hepatitis C, anxiety, and depression. On the evening of presentation, she reported new-onset central chest pain. Vitals were significant for rectal temperature 93 F, blood pressure 95/58, and [...]

Background: Coronary Computed Tomography Angiography (CCTA) is a common anatomic modality for detection of cardiac ischemia in the setting of chest pain hospitalizations. However, invasive coronary angiography (ICA) is the gold standard for diagnosing ischemic coronary artery disease. Research showed that CCTA has a high sensitivity but lacks the specificity and accuracy component of Fractional [...]

Case Presentation: A 62-year-old female with past medical history of poorly controlled Type 2 diabetes mellitus and hypertension, presented to the emergency department with complaints of altered mental status. Her physical exam was positive for tenderness over the lower abdominal area. Initial lab work was notable for leucocytosis [WBC of 18.9 bil/L (normal 3.3- 10.7 [...]