Case Presentation: WF, an 88-year-old man with advanced, wild-type transthyretin-associated (ATTR) cardiac amyloidosis (on tafamidis) complicated by distal conduction disease and heart failure with preserved ejection fraction, presented with syncope and was admitted to the cardiac critical care unit for symptomatic, bradycardic atrial fibrillation. A continuous dopamine infusion was started with resolution of symptoms and [...]

Case Presentation: The case begins with a 71-year-old female named MB. She initially presented with two weeks of worsening back pain, falls, and renal insufficiency. The pain itself radiated from her mid epigastrium to her back. The patient had a past medical history of COPD, paroxysmal atrial fibrillation, and heart failure with reduced ejection fraction. [...]

Case Presentation: A 32-year old female with complicated past medical history of intravenous drug use, mitral valve endocarditis status/post repair, and recent diagnosis of Immune thrombocytopenia (ITP) was transferred from another hospital for management of severe thrombocytopenia refractory to Intravenous Immunoglobulin (IVIG) and steroids. She had initially presented with intermittent high-grade fevers and fatigue without [...]

Case Presentation: A 35-year-old non-smoker male with a past medical history of hypertension presented to the hospital with worsening left-sided chest pain for 2 days. The chest pain was intermittent and associated with exertion. The patient denied any fever, cough or recent illnesses.On exam patient was slightly hypertensive with blood pressure 154/96, pulse rate of [...]

Case Presentation: A 40-year-old G2P2 woman with a history of systemic lupus erythematosus (SLE) that has been serologically and clinically quiescent for 15 years, lupus nephritis at 25-years-old that was treated with cyclophosphamide, and HELLP syndrome during her first pregnancy, presented with fatigue and dyspnea one month after her second son was delivered via C-section. [...]

Case Presentation: A 60-year-old female with hypertension and hyperlipidemia presented with 8 days of generalized weakness, fatigue, and myalgia. She reported headaches and shortness of breath but denied fever, chills or hematochezia. Vitals were stable and physical exam was unremarkable except for splenomegaly, scleral icterus, and mucosal pallor. Hemoglobin was 4.0 on admission, down from [...]

Case Presentation: A 61-year-old male presented with complaint of left arm swelling with left axillary lump, which had been worsening for two months. He reported of having a dark-colored left forearm skin lesion which he reportedly removed by himself 15 years ago without seeking medical care. Computed Tomography of chest revealed too numerous to count [...]

Case Presentation: A 29-year-old male with no significant past medical history was admitted with 10 days of persistent fevers, cough, shortness of breath that worsened with exertion, weight loss, nausea, and vomiting. The patient had no history of travel to any TB-endemic areas, was in a monogamous relationship with his wife, denied IVDU, and had [...]

Case Presentation: A 76-year-old woman complaining with generalized edema underwent CT at a local hospital. It revealed diffuse subcutaneous edema and infiltration in pelvic area and both lower extremities and enlarged inguinal lymph nodes. She admitted our hospital for further evaluation. On physical examination, her vital sign was stable except high blood pressure of 172/88 [...]

Case Presentation: Drug induced hypersensitivity syndrome (DIHS/DRESS) is a severe reaction to an identifiable drug, manifesting as a rash, eosinophilia, lymphadenopathy, fever and frequently internal organ involvement. Though recovery is often achieved with early identification and withdrawal of the offending agent, mortality can reach 5-10% due to resulting fulminant hepatic failure, multiorgan failure, myocarditis or [...]