Case Presentation: The patient is a 58-year-old hispanic man with a past medical history of decompensated hepatitis C virus, alcoholic cirrhosis, hepatocellular carcinoma (HCC), and asthma who presented for definitive management of his known hepatic mass. Based on prior work up and imaging, this mass was presumed to be HCC. He presented to the hospital [...]

Case Presentation: A 78-year-old female with dextrocardia presented to the hospital from her outpatient dermatologist for hypotension, hypoxia, and altered mental status. She became diaphoretic, dyspneic (SpO2 78%), and hypotensive with systolic blood pressure in the 80s after applying topical lidocaine for a microneedling procedure. Initial exam noted diaphoresis, diffuse facial erythema and flushing, orolabial [...]

Case Presentation: A 48-year-old female with Hashimoto’s thyroiditis (on Synthroid), prediabetes, and active tobacco use (30 pack-years) who exercises daily presented to the ER with chest pain after a high-intensity workout. The pain radiated to her left arm and neck and intensified to 10/10, associated with palpitations.On exam, she had cool extremities and diaphoresis. Vital [...]

Case Presentation: A 63-year-old female with past medical history of hypertension, hyperlipidemia, and tobacco use presented to the emergency room with one hour of substernal chest pain radiating to the left arm associated with nausea and dizziness. On examination temperature 98.4°F, blood pressure 160/93, heart rate 93, respiratory rate 19, saturating 98% on room air; [...]