Case Presentation: A 62 year old male with past medical history of DVT, prostate cancer diagnosed 2 years ago, presented to the hospital complaining of 1 day weakness in his left upper and lower extremities. Head CT revealed a sub-acute right side ischemic infarct. Physical exam was significant for jaundice, left facial droop, left tongue [...]

Case Presentation: A 53 year-old man with a history of Hodgkin’s lymphoma status post splenectomy, mantle radiation, and ABVD chemotherapy, severe aortic stenosis, and moderate mitral stenosis attributed to chemoradiation presented with recurrent fevers and lower abdominal pain. He also reported six years of migratory polyarthritis formerly on prednisone and methotrexate, 45kg unintentional weight loss, [...]

Case Presentation: A 37-year-old woman with significant history of intravenous substance abuse, six-year-old mechanical mitral valve replaced for mitral regurgitation and non-adherence to medications presented with shortness of breath and fever (103 F). She was hypotensive (84/64mmHg) and tachycardic (130/minutes). She was intubated and mechanically ventilated for acute respiratory failure. Lab results were remarkable for [...]

Case Presentation: A previously healthy 77 year-old woman with a history of porcine mitral valve repair (MVR) presented with left knee pain.  Three weeks prior to admission she experienced general malaise and intermittent chills. She then fell resulting in left knee pain and presented three days later due to inability to walk. On examination, she [...]

Case Presentation: A 59-year-old male with a bicuspid aortic valve presented to the hospital with a syncopal event. One week earlier, a transesophageal echocardiogram (TEE) done for preoperative assessment had confirmed a heavily calcified bicuspid aortic valve and severe aortic insufficiency. He also reported 2 months of night sweats without fevers, 25-pound weight loss, and [...]

Case Presentation: A 63-year-old man with a history of intravenous drug use (IVDU) and non-ischemic cardiomyopathy presented with one month of fevers, night sweats, and chest pain. Exam was notable for tachycardia (HR = 128), tachypnea (RR = 25), hypoxia (O2 Sat = 85% on RA), accessory muscle use, and crackles to the mid-lungs bilaterally. [...]

Case Presentation: A 64-year-old male with past medical history of hypertension (HTN), hyperlipidemia, coronary artery disease, and end stage renal disease, secondary to HTN, on hemodialysis presented with a 3-day history of nonproductive cough and malaise with no other associated symptoms. On admission vital signs were within normal limits; physical exam revealed decreased breath sounds [...]