Case Presentation: Patient is a 53-year-old female with a medical history of hypertension, hyperlipidemia, diabetes, and tobacco use, presented with a right middle cerebral artery (MCA) stroke and left-sided weakness. She initially delayed seeking care, attributing her symptoms to chronic back pain, but was eventually brought to the hospital by her family. MRI revealed a [...]

Case Presentation: A 59-year-old female with a history of metabolic associated fatty liver disease, obstructive sleep apnea, recent cholecystectomy and gastroesophageal reflux disease presented to the emergency department with rigors, lethargy and R sided chest pain. Her presentation was notable for temperature to 101F and tachycardia. Lab work demonstrated no leukocytosis (WBC 7.7), elevated procalcitonin [...]

Case Presentation: A 65-year-old male was admitted with COPD exacerbation. Imaging studies showed advanced emphysematous changes and cardiomegaly. He was found to be in newly detected atrial fibrillation for which a transthoracic echocardiogram (TTE) was obtained. TTE revealed a moderately dilated left atrium (LA) with a large, highly mobile mass (6.8 x 3.5 cm) prolapsing [...]

Case Presentation: An 88-year-old woman with history of hypertension and hyperlipidemia presented to the ED after a fall. She denied trauma or loss of consciousness at the time of the event. Prior to the fall, she denied palpitations, chest pain, dizziness, or other prodromal symptoms. She denied prior events. She attributed her fall to swelling [...]