Case Presentation: Case Presentation: A 65-year-old African-American male with PMH of hypertension and twenty pack-year smoking history presented with eight weeks of substernal chest pain, unintentional weight loss, and occasional night sweats. He noted a constant substernal burning chest pain radiating to left shoulder, without diaphoresis, nausea or vomiting or pleuritic chest pain. His pain [...]

Case Presentation: A 46-year-old female with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) on antiretroviral therapy, as well as stage IV diffuse large B-cell lymphoma with central nervous system involvement presented to clinic two weeks after her last chemotherapy session where she was found to have a fever to 101 degrees Fahrenheit and [...]

Case Presentation: We report the case of a 63-year-old male with a history of alcoholism and congestive heart failure who was brought to the Emergency Department after being found unconscious. He was febrile at 102.5° F and tachycardiac with a heart rate of 123 beats per minute. He was found to be tremulous, which raised [...]

Case Presentation: Case1: A 72- year old male with a diagnosis of stage four non-small cell Lung carcinoma who was treated with Pembrolizumab, presented two weeks after his first dose with generalized body aches and weakness. Labs showed elevated creatinine Kinase, increased serum creatinine with hyperkalemia to 5.6 and elevated troponins to as high as [...]

Case Presentation: A 64-year-old male with gastric carcinoma and no prior cardiac history presented to the emergency room with altered mental status. On arrival, the patient was tachypneic, hypoxic, hypothermic, tachycardic and hypotensive. Initial investigations showed the patient had a leukocytosis with a left shift. Blood cultures taken upon arrival eventually grew E. Coli, thought [...]

Case Presentation: A 65 year old male with ischemic cardiomyopathy, EF of 25% and NYHA III symptoms despite optimal medical therapy, severe mitral regurgitation (MR) and left bundle branch block (LBBB) with QRS>150ms (figure 1) was referred for cardiac resynchronization therapy-defibrillator (CRT-D) implantation. The right atrial pacing and right ventricular defibrillator leads were successfully implanted, [...]

Case Presentation: A 55 year-old Korean male with a past medical history of hypertension and hyperlipidemia presented to the Emergency Department after feeling short of breath with chest pain, palpitations, mottled skin and blue lips. He endorsed five days of fever, headache, shortness of breath, abdominal pain and nausea. He denied recent travel and sick [...]

Case Presentation: A 44-year-old male with a history of i cirrhosis of liver secondary to chronic hepatitis C,and Illicit drug use presented from a jail to a regional medical center with abdominal discomfort and jaundice which started 2 weeks ago. The patient was diagnosed with acute hepatitis A infection by positive HAV IgM and treated [...]

Case Presentation: A 70-year-old Caucasian female with Breast cancer with extensive bone metastases ,HFrEF, atrial fibrillation presented with fatigue associated with diarrhea and melena. The symptoms had progressed over the last few weeks. Of note, she had a recent hospitalization for left hip fracture status post arthroplasty 6 weeks prior. After the hospital discharge, she [...]

Case Presentation: 62-year-old male presenting to the hospital for left sided abdominal pain. His past medical history is significant for chronic obstructive pulmonary disease (COPD) requiring six liters of oxygen via nasal cannula daily, hypertension and hyperlipidemia. He states that he had a cough attack and then proceeded to have sudden onset of severe left [...]