Case Presentation: A 52 year old African American male with past medical history of hereditary hemorrhagic telangiectasia (HHT) on aminocaproic acid presents with epistaxis and hematochezia with a hemoglobin of 6.7 g/dL. Patient was diagnosed with HHT in his mid-30s when found to be profoundly anemic with reported hemoglobin of below 3 g/dL during incarceration. […]

Case Presentation: A 30 year old Asian woman with no significant medical history presented with an acute onset of six episodes of bloody diarrhea for one day. There was associated crampy lower abdominal pain with nausea. She reported chills but denied fevers. Several hours before symptom onset, she consumed duck pancakes from a local Asian […]

Case Presentation: A 79 year old man with a history of mitral valve prolapse and cold agglutinin disease presented with shortness of breath, orthopnea and leg swelling. Physical exam revealed signs of heart failure. A transthoracic echocardiogram showed ruptured chordae tendineae with increase in severity of his mitral regurgitation. A coronary angiogram showed severe two […]

Case Presentation: We report a case of 24-year-old male with past medical history significant for bicuspid aortic valve, epistaxis who comes to emergency department because of feeling lightheaded, generalized weakness and episode of syncope 2 weeks ago. The patient delayed seeking medical care as he had an exam the next day after he had syncope. […]