Case Presentation: An 80 year-old man presented with one day of confusion, worsened cough, and subjective fevers. He had a productive cough since emigrating from Mexico six months ago, but no complaints of dyspnea. He had a history of diabetes and stable angina for the past year. On presentation, he was tachycardic with a temperature [...]

Case Presentation: A 65-year-old female, Spanish speaking, Jehovah’s Witness, with a past medical history of insulin-dependent diabetes, PUD 2/2 H pylori treated but not tested for cure, and osteoarthritis who presents with hematemesis of one-day duration and abdominal pain of 5 days duration.The patient woke up vomiting blood on the morning of admission. While the [...]

Case Presentation: Our patient is a 24-year-old male with a family history of Antithrombin III (ATIII) deficiency and cerebral aneurysm. He was transferred to our hospital for management of syncope in the setting of a pulmonary embolism (PE). While at work as a landscaper, he felt lightheaded and diaphoretic. The following day, he syncopized, had bladder [...]

Case Presentation: A 72 year old female with history of chronic atrial fibrillation not on anticoagulation was brought to the emergency department (ED) after she was found gasping for breath. She was found to have undetectable blood pressure by Emergency Medical System and the electrocardiogram revealed atrial fibrillation with rapid ventricular response (RVR). Multiple attempts [...]