Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left [...]

Case Presentation: Patient is a 71 year old female with hypertension and chronic obstructive pulmonary disease who presented after syncopal episodes and falls. She denied chest pain but did have lightheadedness and shortness of breath (SOB). She was started on transcutaneous pacing by EMS due to severe bradycardia. Admission EKG (fig 1) showed 3rd degree [...]

Case Presentation: A 36 years old female with past medical history of IV drug abuse, presented with dyspnea, nasal congestion, tactile disturbances, diarrhea, body aches and generalized weakness for 1 day. She was recently treated for tricuspid valve endocarditis. A Transthoracic Echocardiogram (TTE) obtained at that time showed ejection fraction (EF) of 55-60%. On presentation, [...]

Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left periorbital purpura. He was a 25 pack-year current smoker with a past medical history including type 2 diabetes mellitus, hypothyroidism, [...]

Case Presentation: We present a case of a 70 year old diet controlled hypertensive female, a New York State trained and licensed scuba diver, who presented to our emergency department with worsening headache after a rapid ascent from freshwater diving to approximately 60 feet. Patient was reportedly close to surfacing when she panicked and made [...]