Case Presentation: This is a case of a 62 year old Caucasian man with past medical history of hypertension, anxiety disorder, reactive airway disease who presents to the hospital for evaluation of 3 month history of ongoing flu‐like symptoms, diffuse arthralgias, and fatigue with minimal exertion. Patient had been treated on an outpatient basis over […]

Case Presentation: A 20 year-old, asymptomatic Caucasian man presented to the Emergency Department while vacationing in New Orleans. His home physician instructed him to self-present to the nearest hospital after receiving the patient’s Holter monitor data, which noted third-degree AV block and heart rate nadir of 21. The patient was wearing a Holter monitor due […]

Case Presentation: A 43 year old female with no significant past medical history presented to the emergency department after developing subjective fevers, myalgias, arthralgias, and malaise one week after a hiking trip in northern Minnesota. She had a fever of 39.2℃ and splenomegaly with no rash. Pertinent labs showed a hemoglobin of 12.1 g/dL (11.6-15.0 […]

Case Presentation: A 71-year-old female with history of hypertension presented with 4 days of worsening headaches, confusion, photophobia, fevers, and fatigue. Initial vital signs were temperature 38.4C, HR 123/min, BP 164/97mm Hg, RR 16/min and SpO2 99% on room air. Physical exam revealed lethargy, irritability and nuchal rigidity. Workup demonstrated WBC 11400/μL, Hgb 10.8 g/dl, […]

Case Presentation: A 73-year-old male presented to the ER with right-sided facial droop for 2 days. He had a recent history of multiple insect bites and had noticed a bull’s eye rash about 4 weeks back. He did not have any GI or GU symptoms. No history of recent surgery or trauma. His diet was […]

Case Presentation: A 53-year-old woman with a history of bioprosthetic aortic valve (AV) placement in 2014 presented with three weeks of exertional dyspnea and dark stools. On presentation stool guaiac was positive and her hemoglobin was 5.1 g/dl. She was transfused four units of blood and underwent EGD showing gastric and duodenal angiodysplasias (AD) but […]

Case Presentation: Cardiac amyloidosis- a multiorgan disease, which carries a grave prognosis due to its rarity and nonspecific presentation. We report a case of systemic AL amyloidosis with predominant cardiac and renal involvement associated with multiple myeloma.• A 60-year-old male presented with progressively worsening anasarca including 3+ pitting edema in all extremities, and 80 lbs. […]