Case Presentation: An 80-year-old female with a past medical history of breast cancer status post bilateral mastectomy and hepatocellular carcinoma status post radiation therapy presented with chest pain and progressive shortness of breath. The Computed tomography (CT) chest revealed a mass in the right ventricle extending into the main pulmonary artery with flattening of the [...]

Background: Pulmonary embolism (PE) is the third most common cause of death from cardiovascular disease despite significant improvements in diagnosis and management in recent years. PE patients are risk-stratified to guide treatment, and multidisciplinary PE response teams (PERTs) have been established to optimize patient care. This study aims to compare PE patient outcomes over a [...]

Case Presentation: A 62-year-old man presented to the emergency department with chest pain and dyspnea after recently driving from Michigan to Florida. In the ER, he was hypertensive and tachypneic with normal saturations. EKG showed sinus tachycardia with a classic S1Q3T3 pattern. Labs revealed an elevated D-dimer and troponin. CTA chest revealed a large saddle [...]

Case Presentation: A 61-year-old female with a medical history of heart failure, hypertension, asthma, and prior history of stroke presented to the emergency department with progressive dyspnea, right-sided chest pain, and increased bilateral lower extremity edema. On presentation, she was hemodynamically stable with blood pressure 138/86 mm Hg, pulse 99 bpm, saturating 98% on room [...]

Case Presentation: A 28-year-old, 447 lb man with hypothyroidism and depression was hospitalized for neurosurgical intervention for severe lumbar spinal stenosis. He had one risk factor from the Revised Cardiac Risk Index due to the spinal procedure, and his EKG, echocardiogram, and renal function were normal. He had no history of diabetes, TIA/CVA, or cardiac [...]

Case Presentation: A 61-year-old woman presented to the emergency department with a one day history of left leg pain. Of note past medical history is significant for coronary artery disease status post stent times two, coronary artery bypass graft (CABG), hypertension, hyperlipidemia, gastroesophageal reflux disease, heart failure with preserved ejection fraction, deep vein thrombosis (DVT) [...]

Case Presentation: A 21-year-old female with a past medical history of nephrotic syndrome, due to membranous nephropathy, presented to the emergency department (ED) with symptoms of left sided flank pain and shortness of breath. The patient was previously seen in the ED with similar symptoms 2 weeks prior and was diagnosed with pneumonia and discharged [...]

Case Presentation: A 32-year-old female with mast cell activation syndrome, asthma, Ehlers Danlos Syndrome, fibromyalgia, steroid-induced osteopenia and insulin-dependent diabetes presented to an outside hospital with acute on chronic thoracic back pain. There, she underwent kyphoplasty of T4-T7 for thoracic compression fractures and was discharged after a seemingly uncomplicated initial course. She returned 2 weeks [...]