Case Presentation: A 58-year-old male with hypertension, morbid obesity and obstructive sleep apnea (OSA) was shifted to MICU for monitoring of his respiratory status following elective vitrectomy under general anesthesia. He was managed with non-invasive ventilation (NIV) for OSA overnight. Next day he developed an acute onset, right-sided painless neck swelling without associated dysphagia, odynophagia [...]

Case Presentation: A 40 year old woman (G4P4A0) with hypertension and hypothyroidism presented with sudden onset, severe, substernal chest pain while lifting heavy garbage bag. She was diagnosed with NSTEMI in the context of typical ischemic chest pain with trending troponins and EKG with T wave inversions in anterior leads. Transthoracic echocardiography revealed apical and [...]

Case Presentation: A 44-year-old man with no known medical conditions presented with acute, painless, left monocular blurred vision. There was no history of smoking or illicit drug use. Physical examination indicated blood pressure of 200/135 mmHg, heart rate 86/min and unremarkable cardiopulmonary exam. Fundoscopic examination showed branched retinal vein occlusion. Patient had elevated Troponin I. [...]

Case Presentation: A 61-year-old African American man with no significant medical history came to medical attention in December 2016 with severe post prandial bloating and vomiting for 2 months. On admission, vital signs and physical examination were unremarkable. The following laboratory tests were normal or negative: blood urea nitrogen, serum creatinine, bilirubin, alanine aminotransferase, aspartate [...]

Case Presentation: A 64-year-old Caucasian female patient with no significant medical history came to medical attention in December 2016 with an episode of generalized tonic clonic seizure. On admission, review of systems, vital signs and physical examination were unremarkable. The following laboratory tests were normal or negative: complete metabolic panel, complete blood count, urinalysis, chest [...]

Case Presentation: A 53 year old female originally underwent an ablation for atrial fibrillation with post procedure course pericardial effusion requiring drain placement for 3 days. Patient recovered from original effusion and was sent home with colchicine and aspirin. She presented to our care on day 28 after procedure, one week after recent hospitalization. Patient [...]

Case Presentation: A 55-year-old man with type 2 diabetes mellitus, metastatic renal cell carcinoma to brain and bone despite left nephrectomy and multiple cycles of chemotherapy and recent immunotherapy with nivolumab presented 3 weeks post whole brain radiation treatment (WBRT) with 4 days of right arm pain and swelling. He visited upstate New York prior [...]

Case Presentation: A 60-year-old male patient who presented with hemoptysis 1-year prior, was found to have sub-centimeter lung nodules and multiple liver lesions on CT chest. The largest hepatic lesion on abdominal MRI was 3.2 x 1.4cm. He declined liver biopsy and presented a year later with abdominal distension, early satiety and unintentional weight loss [...]

Case Presentation: A 20 year-old IVDU female presented with 3 days of left eye pain and redness to an urgent ophthalmologist visit. She was found to have left eye retinal whitening superior to the macula to which vitreous tap was performed. Patient started on empiric treatment with injection of vancomycin, ceftriaxone, and voriconazole. Vitreous fluid [...]

Case Presentation: A 39-year-old man presented with several days of worsening lightheadedness, fevers, and joint pains. His temperature was 99.8 Fahrenheit, pulse 122 per minute, and blood pressure 80/51 mmHg. He looked ill and uncomfortable. His palms and soles had multiple tender, purple-to-black macules and patches 3-30 mm in dimension, consistent with embolic infarcts (image [...]