Case Presentation: A 55 year old Caucasian male presented to the emergency department with two weeks of palpitations and chest pain. He experienced intermittent chest pressure and palpitations that were worse while lying down. He denied recent change in weight, skin changes, or SOB. He had a 45 pack-year smoking history, having quit two years [...]

Case Presentation: A 29-year-old Japanese man who attended to an orthopedist in an outside hospital with multiple fractures of rib bones and a compression fracture of vertebral bones was referred to our hospital for further investigation for the tentative diagnosis of rheumatoid arthritis worried about increased serum level of matrix metalloproteinase-3. In advance of the [...]

Case Presentation: Headache is one of the most common complaint of patients, yet over 65% of patients with tension-type headaches don’t present to their primary care doctor. When it’s not just a typical headache is when it’s imperative to make the diagnosis early to prevent detrimental complications. A 46-year-old-male presented with a chief complaint of [...]