Case Presentation: A 59-year-old woman presented with acute worsening of chronic abdominal pain and nausea. Her past medical history included a stable type-B aortic dissection. Over the previous year, she had multiple hospitalizations for postprandial abdominal pain associated with nausea and vomiting. The pain had been increasing in severity and had led to a 10-pound […]

Case Presentation: A 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was […]

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 […]

Case Presentation: Spontaneous renal artery dissection (SRAD) is a rare disorder that has been reported to occur in middle-aged men. It often presents similar to nephrolithiasis, making it’s presentation non-specific and easily missed. Including SRAD in the differential for renal colic type-pain is important to decrease morbidity and improve the chance of renal recovery. Discussion: […]

Case Presentation: A 33-year-old male presented to the emergency department (ED) after abrupt onset left anterior chest pain with associated diaphoresis, nausea, and abdominal pain one hour prior to arrival. He denied aggravating or relieving factors. Vital signs were stable and physical exam, including cardiac and respiratory exam, were unremarkable. Patient denied a history of […]

Case Presentation: A 48-year-old female with an unremarkable past medical history presented with intermittent, dull, substernal chest pain for several hours, associated with diaphoresis and bilateral arm paresthesia, worse with exertion. Patient’s symptoms improved with sublingual nitroglycerin in the Emergency Department. EKG showed subtle ST-segment elevations inferiorly. Troponin was initially negative at 0.01, trended to […]

Case Presentation: 52-year-old male with no past medical history, presents to the emergency room for complaints of worsening diffuse abdominal discomfort of one-day duration. Pain was located in lower part of abdomen, dull in character, non-radiating, 10/10 in intensity associated with nausea, and subjective fever .Vital signs were significant with a temperature of 101.1 degrees […]

Case Presentation: An 83-year-old male with a history of hypertension and coronary artery disease presented to the ED with complaints of persistent hiccups for 1-week duration associated with drooling, decreased appetite, inability to lie flat, and significant weight loss over several months. He was hemodynamically stable and afebrile but noted to have diffuse abdominal tenderness […]