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: In 2019, the US Food & Drug Administration issued a warning regarding safety of gabapentin use in patients with respiratory conditions, including chronic obstructive pulmonary disease (COPD). Gabapentin is widely prescribed, often for off-label indications, however limited data exist regarding safety and outcomes among patients with COPD. Methods: We analyzed data from 29 US [...]

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 [...]

Background: Concerningly, COPD exacerbations are the 3rd leading cause of readmissions nationwide, accounting for 60,000 readmissions annually. Patients hospitalized with COPD exacerbations have a 22.6% likelihood of readmission within 30 days, partially contributed to by their suboptimal disease awareness. However, there are educational tools that can be leveraged to improve treatment adherence, patient outcomes, and [...]

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: Introduction:Tuberculosis (TB) remains a global health issue, with extrapulmonary TB often mimicking other conditions.¹ Diagnosing tuberculous peritonitis is particularly challenging in resource-limited settings, where nonspecific symptoms and limited diagnostics create barriers. This case highlights the complexities of diagnosing tuberculous peritonitis in a chronic alcoholic patient, initially suspected of decompensated liver disease (DCLD) despite [...]

Case Presentation: Acute eosinophilic pneumonia (AEP) is a rare condition and is often idiopathic, but among drug-induced causes, daptomycin-associated AEP is the most common.[1] The patient is a 75-year-old female with a past medical history of Sheehan syndrome, adrenal insufficiency, hypothyroidism, and type two diabetes mellitus admitted to the hospital with a non-productive cough ongoing [...]

Case Presentation: A 77-year-old man presented with altered consciousness. His medical history included type 2 diabetes mellitus, hypertension, and complete atrioventricular block managed with a pacemaker. Three months earlier, corticosteroid therapy was initiated for acute lung injury of unknown etiology, with symptom improvement followed by dose tapering. He had no history of tuberculosis, mycobacterial infections, [...]

Case Presentation: Lemierre’s disease is a rare and deadly infection caused by the Fusobacterium species which results in bacterial pharyngitis that spreads through pharynx soft tissues into the carotid arteries, resulting in widespread bacteremia and thrombosis. Outcomes are reliant on early diagnosis and initiation of treatment, with mortality rates as high as 20%. The rarity [...]