Case Presentation: A 38-year-old Caucasian man without significant past medical history presented to the hospital with unintentional 20-pound weight loss, diarrhea, intermittent fevers up to 103 degrees, and fatigue over the preceding two months. On review of systems, he also had chronic joint pains in his feet and shoulders for the past year. He had [...]

Case Presentation: A 56 year old man presented to the emergency department with sudden onset of severe chest pain that radiated to his back. He had an initial HR of 72 and BP of 208/114. CT angiogram of the chest and abdomen revealed a large type B aortic dissection (AD). The patient was treated with [...]

Case Presentation: A 70 year old female with metastatic melanoma presented to the emergency department with fatigue and lethargy for one month. She had recently completed 6 cycles of Nivolumab and Ipilimumab and was currently receiving Nivolumab monotherapy. Over the past month, she had worsening fatigue associated with nausea and decreased appetite. Lab work one [...]

Introduction: Right bundle branch block with ST-segment elevation in leads V1 through V3 is the electrocardiographic (ECG) marker of the Brugada pattern. The Brugada pattern was first described as a genetically, autosomal dominant, determined disease caused by mutation in the sodium channel. However over time, the Brugada pattern has also been reported to be transient, [...]

Case Presentation: This is a 76 year-old female with no significant past medical history who presented to her primary care physician for evaluation of changes in visual acuity and color perception. Two months after initial presentation she was referred to see an ophthalmologist who noted bilateral papilledema. An MRA, MRV, and MRI were obtained without [...]

Case Presentation: The patient is a 57 year old Hispanic male with history of AIDS who presented with two weeks of left flank pain, fatigue and fevers. Physical exam showed mild tenderness of the left flank. Labs showed a chronic anemia and an absolute CD4 count of 111. Kidney function was normal, and urinalysis was [...]

Case Presentation: Klebsiella Pneumoniae is a gram-negative bacterium known to cause pneumonia and urinary tract infections. The hypermucoviscosity phenotype of K. pneumoniae is commonly tested for using the string test. Clinical studies have shown an association between the hypermucoviscosity phenotype and a highly virulent tissue abscess syndrome, causing liver abscesses, endophthalmitis and septic thrombophlebitis. Most [...]

Case Presentation: A 26-year-old male presented with a 6-hour history of anterior neck pain and swelling. Symptoms started few minutes after he had dinner (tuna and a carbonated beverage). Otherwise, he denied any recent illness, trauma or intake of unusual substances and had no other past medical history. On exam, he was afebrile and hemodynamically stable. [...]

Case Presentation: A 27 yo male with ulcerative colitis (UC) and childhood asthma presented with a dry cough, fever and weight loss for 6 weeks. One and a half years prior to admission, he was diagnosed with UC for which he was started on oral mesalamine 1.2 g/day. Prior to admission, he visited an outpatient [...]

Case Presentation: A 43 year-old man with history of alcohol abuse presented with progressive shortness of breath. He was found with severe pneumonia and subsequently developed cardiac arrest. Initial EKG suggested anteroseptal infarct, age undetermined; troponin was elevated with a peak of 0.188 ng/mL (normal <0.031 ng/mL). A left heart catheterization (LHC) revealed non-obstructive coronary [...]