Case Presentation: A 72-year-old-female presented to the ED with an 8-month history of intermittent, progressive, substernal chest pain. EKG showed normal sinus rhythm without ischemic changes and troponin was negative. CT Angiogram showed a moderate pericardial effusion and mild wall thickening of the thoracic aorta concerning for vasculitis. Cardiac MRI showed aortitis with mild pericarditis [...]

Case Presentation: A 70 year-old female with hypertension and diabetes presented to the hospital with a one-day history of non-positional, left-sided chest pain associated with shortness of breath and subjective fevers. Physical exam and vitals were unremarkable. Work up included three negative troponins, EKG in normal sinus rhythm (Figure 1), and D-Dimer of 1100 ng/mL. [...]

Case Presentation: A 68 year old caucasian female presented to the emergency department with 1 week of fever, chest pain, and dyspnea. On exam, she appeared cachectic and toxic . Her temperature was 101F, heart rate was 124/min, and she was in Atrial fibrillation. Her BP initially was 100/66, and respiratory rate was 25/min. Pulsus [...]

Case Presentation: 59 year old woman with a history of recently diagnosed rheumatoid arthritis (RA) not on therapy presents with substernal non radiating chest pain and right upper quadrant pain worsening with inspiration and dyspnea on exertion (DOE) for one week. Patient also reported dysphagia, dry mouth and Raynaud’s phenomenon. Exam showed normal vital signs [...]