Background: Obstructive sleep apnea (OSA) is a disorder characterized by obstructive apneas and hypopneas due to repetitive collapse of the upper airway during sleep. OSA is the most common sleep-related breathing disorder. The estimated prevalence is 20 to 30 percent in males and 10 to 15 percent in females. Patients with OSA, are at increased [...]

Case Presentation: The patient is a 64-year-old male, BMI 35.6 kg/m2, with a history of diabetes mellitus II, hypertension, hyperlipidemia, and recent CAD after syncope, who was under going CABG. A cardiac tumor was incidentally found intraoperatively (Figure 1). The pre-operative transthoracic echocardiogram (TTE) was negative for signs of tumor (Figure 2), however, when it [...]

Case Presentation: A 28-year-old man with ulcerative colitis treated with adalimumab presented with headache, fever and sinus symptoms that progressed over two weeks to neck stiffness, “clouded” thinking, and intermittent left arm and facial numbness. On physical examination, he had normal cardiorespiratory findings. He had mild nuchal rigidity but an otherwise normal neurologic examination. CT [...]

Case Presentation: 39 year-old African-American male presented with dizziness, worse with movement and short-term memory loss, remaining oriented, without visual changes, and no focal deficits. He complained of chronic sinusitis for the past year. CT head showed a hyperdense mass with surrounding white matter edema in the left basal ganglia. Confirmed by leptomeningeal enhancement by [...]

Case Presentation: We report a 32 yr old HIV positive lady who presented with acute onset right thoracic multi-dermatomal herpes zoster and ipsilateral upper and lower limb weakness. She had been on HAART since 2002 but stopped her medications for few months prior to presentation. Her examination was significant for right side localized vesicular rash [...]