Case Presentation: A 13 year old female presents with 2 months of progressive right neck swelling, right ear pain, and fatigue.  Two months prior to presentation, she hit her right side of the neck on a rollercoaster ride.  At that time, the neck swelling was attributed to muscle spasm.  However, neck pain and swelling had […]

Case Presentation: A 39-year-old male with a past medical history significant for PTSD, depression, and asthma presented to the hospital secondary to suicidal ideation. Patient was reportedly found on an overpass by the police where he was intending to jump. Medications that the patient was currently prescribed were clonazepam, prazosin, sertraline, and zolpidem; however, patient […]

Case Presentation: Introduction: Mixed Cryoglobulinemia (MC) is a rare subtype of the Cryoglobulinemia disorders which are caused by precipitation of immune complexes in the serum at cold temperature. MC involves more than one immunoglobulin component, i.e. IgM, rheumatoid factor (RF) and can be classified further as Type II or III. MC has associations with both […]

Case Presentation: An 87-year-old male presented with sudden onset of drowsiness.  His body slumped in the chair while watching television; he was staring into space with drooling from the right angle of mouth. Past medical history was significant for hypertension with nephropathy and pacemaker insertion for sick sinus syndrome. His Glasgow coma scale was 7 […]

Background: Hepatitis C virus (HCV) is a leading cause for liver cirrhosis and one of the commonest indications for liver transplantation. The introduction of direct acting antiviral (DAA) medications have revolutionized the treatment for HCV. Prior to 2014, the treatment for HCV consisted of interferon and ribavirin which yielded a sustained virologic response (SVR) of […]