Case Presentation: A 77 year old female who had a diagnosed primary gastric adenocarcinoma at another hospital presented to the emergency department with shortness of breath. A chest x-ray was done which showed a large left-sided pleural effusion (Figure 1). An ultrasoundguided thoracentesis was done and the pleura was positive for metastatic adenocarcinoma, however the [...]

Case Presentation: A 54-year-old female with hypertension, type 2 diabetes, and morbid obesity with Roux-en-Y gastric bypass (RYGB) in 2009 presented to the hospital with abdominal pain and was found to have choledocolithiasis and acute cholecystitis. She was admitted to the surgery service and underwent ERCP and laparoscopic cholecystectomy. Her post-op course was complicated by [...]

Case Presentation: A 62-year-old female with no known past medical history presented with 3-days of multiple episodes of vomiting after consuming Chinese food.She was in atrial fibrillation with a rapid ventricular response.Significant lab analyses included lactate of 13 mg/dL,WBC of 26,000 /µL with left shift, Cr of 3.4 mg/dL,BUN of 48 mg/dL, and Troponin of [...]

Case Presentation:  A 66-year-old woman with a history of hypertension and type 2 diabetes mellitus presented to an outside hospital with persistent nausea and vomiting, a 45 pound weight loss, and dysphagia over a 4-week period. In addition to the new diagnosis of atrial fibrillation, esophagogastroduodenoscopy identified a lesion in the gastric cardia concerning for [...]