Case Presentation: A 63-year-old male presented to our institution with progressive dyspnea and associated hemoptysis of several days duration. He was a former cigarette smoker, having smoked approximately 1 pack per day for 45 years, who had recently transitioned to using electronic cigarettes, or “vaping,” 3 months prior. With regards to his vaping, he reported [...]

Case Presentation: A 43 year old male with a past medical history of stage 4 chronic kidney disease, hypertension treated with Minoxidil, former smoker, was initially diagnosed 9 years prior with presumed viral small pericardial effusion that remained stable on follow-up with serial echocardiograms. He presented with dyspnea and chest tightness with exertion, orthopnea, paroxysmal [...]

Case Presentation: This is the case of a 57-year-old lady with rapidly progressive stage IV pulmonary adenocarcinoma who presented two months after diagnosis with findings of significant hyponatremia. Upon admission, she was afebrile, hypotensive and tachycardic. Sodium was 119 mEq/L, potassium 2.4 mEq/L, chloride 67 mEq/L, serum osmolality 246 mosm/kg, urine osmolality 684 mosm/kg and [...]

Case Presentation: A 63 year-old gentleman had a history of ischemic cardiomyopathy treated with Orthotopic Heart Transplant (OHT), on tacrolimus & prednisone; cutaneous Kaposi Sarcoma (KS); & negative pre-transplant Human Herpesvirus 8 (HHV8) serology. He presented 5 months after OHT with progressive dyspnea on exertion, orthopnea & bilateral lower extremities swelling since 1 week. On [...]

Case Presentation: A 61 year-old-female presented to an outside institution with worsening exertional dyspnea, chest pressure, and fatigue. Echocardiogram revealed a large pericardial effusion bordering on tamponade which was drained with great improvement of symptoms. CT Chest/Abdomen/Pelvis revealed perirenal soft tissue invasion, which was biopsied. Patient was then referred to our institution for further management; [...]

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 25 year-old white man with no significant past medical history presented with gradually progressive dyspnea on exertion and dry cough for approximately two months. He was treated for community-acquired pneumonia with various oral antibiotics and corticosteroids without resolution of symptoms. Importantly, during a particularly severe coughing spell, he noted sharp right-sided chest [...]