Case Presentation: A 44 year-old female with a history of essential hypertension presented with one month of progressive chest pain, dyspnea and fevers. These symptoms were associated with a dry cough, sore throat and symmetric joint pains with swelling and morning stiffness of the hands and wrists. Her chest pain was left sided and knife-like, [...]

Case Presentation: A 70-year-old male who presented to us with worsening dyspnea on exertion and non-productive cough. Review of systems was negative. Vitals were unremarkable; physical examination was significant for bilateral basilar rales which were corroborated by his chest x-ray that revealed bilateral pleural effusions. Laboratory findings were notable for normocytic anemia and elevated liver [...]

Case Presentation: A 36-year-old woman with Loeys Dietz Syndrome (LDS) presented with complaints of a “gurgling” sensation in her right chest. Her medical history included an aortic root aneurysm repair, aortic valve replacement and pneumothorax treated with chest tube. Physical exam demonstrated pectus excavatum and a rub throughout all right lung fields. Chest X-ray revealed [...]

Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac arrhythmias have been reported.1 38-year-old male without prior cardiovascular history, presented to a rural hospital with pre-syncope and lightheadedness. He [...]

Case Presentation: A 54 year-old male with history of stroke, hypertension, chronic kidney disease stage III, gastroesophageal reflux, diabetes mellitus, peripheral vascular disease, and alcohol abuse (sober for 3 months), presented with acute change in mental status, generalized weakness, and difficulty ambulating. Vitals showed blood pressure of 134/ 86 mmHg, pulse of 95/min, temperature of [...]

Case Presentation: A 26-year-old healthy right-handed female presented to the hospital with a sudden onset of right arm swelling and discoloration. She was visiting the US from Australia and flew about two weeks prior. On the day of presentation, she was shopping when she noticed right arm pain, swelling, and discoloration. She did not suffer [...]