Case Presentation: A 73-year-old man with a history of atrial fibrillation on apixaban and panhypopituitarism secondary to resection of a pituitary adenoma in the 1980s presented to our hospital for chest pain. His recent history is notable for recurrent cystitis and Clostridium difficile infections requiring stress-doses of glucocorticoids; his endocrinologist had been attempting to taper [...]

Case Presentation: Radiation associated cardiac disease (RACD) is an important adverse effect which may not present until years to decades following therapy. Presentations include arrhythmias, acute coronary syndromes, heart failure and valvular pathologies, as seen in this presentation. A 50-year-old female with past medical history of breast cancer treated with chemo-radiation eight years prior presented [...]

Case Presentation: 72 yo male with history of cerebral artery aneurysm, COPD, and Stage 3 CKD presented to the hospital for elective angiography of a cerebral aneurysm. He developed PEA arrest in the preprocedural setting and ROSC was achieved after 5 minutes of CPR. Patients condition improved initially but prior to planned discharge he developed [...]

Case Presentation: An 82 yo F with history of HTN, HLD, anemia, and atrial fibrillation presented to the ED with right-sided weakness and aphasia. She was subsequently found to have an acute left MCA stroke, which was treated with thrombectomy. She was not on anti-coagulation for her atrial fibrillation due to history of GI bleed [...]

Case Presentation: Our patient is 56-year-old gentlemen with a history of non-ischemic cardiomyopathy related to prior alcohol use, hypertension and atrial fibrillation who presented to the emergency department complaining of shortness of breath, pleuritic chest pain and subjective feeling of fever and chills of 3 days’ duration. He was found to be hypotensive (86/60 mmHg) [...]

Case Presentation: A 53-year-old woman with a history of irritable bowel syndrome-diarrhea (IBS-D), chronic pain syndrome and years of nonspecific symptoms including chronic diarrhea and neuropathy, presented with bilateral lower extremity edema. Multiple outpatient visits and studies demonstrated nonspecific autoimmune condition with questionable monoclonal gammopathy of undetermined significance (MGUS) as well as a presumed diagnosis [...]