Case Presentation: An 84-year-old woman with a history of hypertension and aortic stenosis (AS) presented with progressive dyspnea on exertion and melanotic stools for one week. The patient was admitted twice recently for similar reasons. Physical exam was remarkable for pallor and a grade 4/5 systolic murmur at the cardiac base with radiation to the […]

Case Presentation: A 75-year-old man presented with three weeks of gradually worsening gait instability, fatigue and generalized body weakness.  At baseline, the patient was very active and jogged several miles per day.  However, since the onset of his symptoms, he was bumping into walls, tripping into sidewalks and started using a cane.  On presentation to […]