Case Presentation: A 76- year old smoker woman with a medical history of emphysema and left MCA stroke six months back, presented with acute bilateral occipital headache and visual impairment.On Exam, she was well appearing, normal vital signs, and no murmurs on heart exam. Neurological exam was normal except for dysmetria due to visual impairment [...]

Case Presentation: A 17 year old female was diagnosed with a pulmonary embolus 3 months ago. A partially occlusive thrombus was also noted in her left common iliac vein. She was diagnosed with May-Thurner syndrome (MTS), and treatment was started with therapeutic doses of Lovenox. She missed only five doses of Lovenox during the ensuing [...]

Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was [...]