Case Presentation: Electrocardiograms (ECG’s) hold a strong diagnostic value in medicine. They are of particular usefulness when that can be extended to the prognostic arena. In a few cases, it offers particularly important information in the short term. One such finding is the presence of T wave alternans.  A 56 year old female with past [...]

Case Presentation: We present a rare case of MoyamoyaDisease (MMD) in a 44-year-old Caucasian female with a medical history of severe recurrent headaches. She presented with an excruciating headache and was found to have right-sided facial droop, and dysarthria. Initial imaging demonstrated an intraparenchymal and intraventricular hemorrhage, along with chronic occlusions of the middle cerebral [...]

Case Presentation: A 68 year old White female with atrial fibrillation presented with worsening dyspnea and cough. She was previously followed for similar symptoms and a computed tomography (CT) scan of the chest done in November 2012 demonstrated minimal basilar airspace disease.  At that time an extensive workup including autoimmune serology was unrevealing and her [...]

Case Presentation: A 24-year-old African-American woman presented with nausea, flank pain, and hematuria recurring over several months. Review of symptoms and past medical history were negative. She was a current smoker. Family history was noncontributory. Physical exam was significant for bilateral flank pain. Laboratory testing, serology, and kidney biopsy led to the diagnosis of rapidly [...]

Case Presentation: A 22-year-old male with no PMH or FH of autoimmune diseases and no substance use history presented with several days of worsening dyspnea, pleuritic chest pain, cough and hemoptysis. On evaluation, his vital signs were T 98.3oF, BP 103/64 mmHg, HR 86/min, RR 21/min, SpO2 93%. Physical exam was notable for auscultation of [...]