Case Presentation: A 46 year old male patient with history of Hodgkin’s lymphoma in remission, and hypercoagulable state, status post IVC-F placement in 2005 and anticoagulation. He presented with hypotension and dizziness. He has been suffering from dizziness for several months but it has been getting progressively worse, to a level that he is unable […]

Case Presentation: A 50 year‐old woman with chronic hidradenitis suppurativa presented with three weeks of progressive difficulty swallowing. She initially had dysphagia only for solid foods, but it has now progressed to liquids as well. She also reported odynophagia, nausea immediately after eating, and reports that she has lost ten pounds. Her physical exam was […]

Case Presentation: 33 year old male with a history of antiphospholipid antibody syndrome (APS), multiple venous thromboembolisms (VTE) on Coumadin, presented with epigastric pain and nausea. Exam was notable for tachycardia, hypertension with pallor, icterus and tender epigastrium. Laboratory studies revealed leukocytosis of 18.6, normocytic anemia, thrombocytopenia (20,000), isolated elevated total bilirubin and INR of […]

Case Presentation: A 68 year­-old man with prior Agent Orange exposure in Vietnam presents with 6 months of progressive orthostatic hypotension (OH), syncope, 60 lb weight loss, and lower extremity weakness, parasthesias, and allodynia.Prior workup found mildly elevated troponin and BNP, but a normal stress test. Midodrine had no improvement in OH, and BP on […]

Case Presentation: A 60 year‐old woman presents with a 3 day history of weakness and shortness of breath. Associated symptoms include pain in her back, occiput, and chest, as well as subjective fevers and presyncope. Her medical history was significant for remote intravenous drug use, current opiate abuse, and a chronic pain syndrome that had […]

Case Presentation: A 79-year-old woman was found minimally responsive in her home and brought to the hospital for evaluation. On arrival, she was bradycardic (32/min) and hypotensive (75/40) without fever, tachypnea (16/min), or oxygen needs (98% room air). Her initial exam was notable for somnolence, conjunctival injection with normal pupils, dry oral mucosa, slightly cool […]

Case Presentation: An 82-year-old woman with dementia, right eye blindness, prior right retinal surgery, atrial fibrillation, and prior stroke presented to an outside hospital with a six-month history of weakness, confusion, ataxia, and falls.  A head computed tomographic (CT) scan showed hyperdensity of the right globe, scleral thickening, and an identically hyperdense lesion superolateral to […]

Case Presentation: 64-year-old man with history of schizoaffective disorder, hypertension, cigarette smoker (quit recently) was admitted to the hospital with acute onset recurrent falls in the last 2 weeks. Medications include buspirone 10mg, amlodipine 2.5 mg, metoprolol 50 mg, clozapine 450 mg. He had hypotension on presentation, which improved with fluids. Symptomatic orthostatic hypotension persisted […]

Case Presentation: We present a case of a 89 year old Caucasian male of normal cognition who presented to us with complains of decreased appetite and poor oral intake secondary to increased epigastric abdominal pain, nausea and retching. His past medical problems include hypertension, atrial fibrillation on rivaroxaban, hiatal hernia and enlarged prostate. On arrival […]

Case Presentation: A 58-year-old male patient was brought by EMS after he was found to have an episode of syncope preceded by nausea, vomiting, dizziness while he was on his way to the supermarket. His past history was significant for hypertension, end stage kidney disease on chronic hemodialysis, and a recent diagnosis of stage IV […]