Background: Despite the consistently proven benefits of cardioprotective medications, medication adherence (MA) remains a challenge in coronary artery disease (CAD) patients. Studies suggest that up to 50% of patients with CAD are nonadherent to medications, with patient knowledge, beliefs, and expectations playing a vital role. We aimed to assess patient-related medication non-adherence (MNA) factors in […]

Case Presentation: Case of 53 years old female with a past medical history of rheumatoid arthritis, coronary artery disease and peripheral vascular disease who presented with worsening postprandial right upper quadrant abdominal pain. Pain was described as intermittent, sharp, and stabbing. The patient also reported a 20-30 pounds’ unintentional weight loss over 6 months and […]

Case Presentation: A 77-year-old female with atrial fibrillation (AF) on flecainide, sinus node dysfunction (SND), and permanent pacemaker presents with frequent palpitations. EKG showed regular, wide-complex tachycardia with ventricular rate of 137 BPM. Device interrogation revealed atrial flutter with 1:1 AV conduction (AL11AV). Rhythm terminated with overdrive atrial pacing along with resolution of symptoms. Troponins […]

Case Presentation: A 45 year-old gentleman with a history of recurrent alcoholic pancreatitis complicated by pancreatic pseudocyst presented to the hospital after three episodes of hematochezia. Ten days prior, he had undergone endoscopic transgastric metal stent placement between his pseudocyst and stomach, followed 6 days later by pseudocyst drainage with necrosectomy. After 3 days, he […]

Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to […]

Case Presentation: A 77-year-old female with a history of hypertension and diabetes, presented to the ER with sudden syncope. She reported severe retrosternal chest pain, associated with nausea and vomiting. She stated she has been under extreme emotional stress due to sudden death of a family member. Examination was remarkable for hypotension (70/40 mmhg), cold […]

Case Presentation: A 58-year-old male presented to the emergency department with a twelve-hour history of sudden, painless and progressive left sided loss of vision following the consumption of tadalafil 20mg tablet for erectile dysfunction. He denied loss of consciousness, seizures, dizziness, headache, slurred speech, palpitations, tinnitus, urinary or stool incontinence, recent trauma, recent changes in […]

Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. […]

Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan […]

Case Presentation: A 40-year-old woman with a history of asthma presented with progressive shortness of breath and acute onset chest pain. Following a severe asthma exacerbation, she reported increasing dyspnea on exertion that slowly worsened over the subsequent 2 weeks, which she attributed to her asthma. On the day of presentation, she reported mild, asthma […]