Case Presentation: A 73-year-old female with coronary artery disease, biventricular systolic heart failure requiring implantable cardiac defibrillator (ICD), paroxysmal atrial fibrillation (A-fib) treated with amiodarone for 2 years presented with abdominal pain, nausea, loss of appetite for 1 month. She also reported a recent ICD discharge. Initial vital signs were remarkable for a blood pressure […]

Case Presentation: A 58 year old woman is transferred to our Intensive Care Unit for septic shock, acute renal failure, and acidemia. She was well until 3 days ago where she was weak, had nausea and vomiting, as well as shortness of breath, exertional dyspnea, and generalized fatigue. She has chronic pain for which she […]

Case Presentation: A 69-year-old female with a history of Takotsubo cardiomyopathy, atrial fibrillation on Amiodarone since 2 months prior, type 2 diabetes who presented to the primary care clinic due to shortness of breath. She was diagnosed with community-acquired pneumonia 3 weeks ago that was treated with Doxycycline without improvement. She continued to spike fevers […]

Case Presentation: A 36 year-old male came in to the ED with 2 day history of painful itchy rash on the left side of the neck and face. The patient denied any fever or chills. The patient also denied any past medical, surgical or family history as well as any alcohol, drugs or tobacco use. […]

Case Presentation: A 50 year-old man presented with left sided weakness. His history was notable for type 2 diabetes mellitus, peripheral arterial disease, and prior unprovoked deep vein thrombosis (DVT) of his right femoral vein that was not anti-coagulated due economic barriers.He received tissue plasminogen activator for a right middle cerebral artery occlusion, in addition […]

Case Presentation: An 87-year-old man with medical history significant for hypertension, non-ischemic cardiomyopathy, paroxysmal atrial fibrillation (anticoagulated on Rivaroxaban) and ventricular tachycardia (recently started on Amiodarone) presented to the emergency room with chest pain. He reported that the pain started insidiously 2 days prior to presentation, pleuritic, sharp, retrosternal and intermittent, associated with diaphoresis and […]