Case Presentation: We present a 68 year-old man, with a history of benign prostatic hypertrophy, who presented with several months of progressive personality changes and mild gait changes. His wife noticed he had become more introverted, and his gait had become more ataxic with prolonged ambulation. He also started having subtle memory problems. On physical, […]

Case Presentation: A 76‐year‐old man with hypertension, coronary disease, and diabetes presented for routine follow‐up. Social history was negative for alcohol, tattoos, travel, or illicit drug use. He denied blood transfusions or chemical exposures. Exam was benign. Labs revealed alkaline phosphatase 198 IU/L (38‐126) and aspartate transaminase 49 IU/L (15‐41). Bilirubin, creatinine, coagulation, and complete […]

Case Presentation: This is a 49 year old female, with no significant medical history, who started having intermittent fevers, night sweats, and fatigue 11 months prior. She reported a temperature of 100.4°F with cough and rhinorrhea, diagnosed as bronchitis with an elevated CRP of 40 mg/L. She reported some improvement with azithromycin but continued to […]

Case Presentation: 50‐year‐old male with hypertension and diabetes mellitus, presented to primary care’s office in October 2011 with intermittent chest pain. No family history of premature coronary artery disease, and no personal history of smoking, alcohol or drug abuse. He had a positive stress echocardiographic test and angiogram in November 2011, which showed single‐vessel coronary […]

Case Presentation: A 64‐year‐old woman presented with acute onset right lower extremity pain and swelling. She had a history of moderate car travel one week prior to admission and described decline in stamina, generalized fatigue, and night sweats over the course of one month. Past medical history was significant only for gastroesophageal reflux disease. Physical […]

Case Presentation: A 69 year-old Mexican man with a history of polysubstance abuse presented to the hospital for fever and dysphagia of 4 weeks duration. CT of the chest taken at an outside facility showed a large esophageal mass with right hilar and left supraclavicular lymphadenopathy (Figure 1). Given concern for malignancy, an EGD with […]

Case Presentation: We report a case of non‐syndromic familial thoracic aortic aneurysm and aortic dissection (FTAAD) discovered in a 31‐year‐old man presenting with heart failure secondary to a 9.5cm ascending aortic aneurysm. He underwent urgent aortic root and valve replacement. Surgery was successful and he has been recovering very well with physical therapy and cardiac […]

Case Presentation: Patient is a 64 male with a past medical history of coronary artery disease who was experiencing two months of syncopal episodes with increasing frequency. Associated with these episodes were instances where he would wake up at night, face flushed and diaphoretic. He would also note bradycardia to the 30’s. He had an […]

Case Presentation: A 25-year-old previously healthy male presented with two weeks of right arm and leg weakness, paresthesia, difficulty walking, and low-grade fever. Head CT revealed two masses in the superior left cerebral hemisphere. Head MRI showed two intensely enhancing masses measuring 2.6 x 2.7 cm and 1.6 x 1.7 cm with marked surrounding edema […]

Case Presentation: A 59 year-old male with a past medical history of Type 1 muscular dystrophy presented to the emergency room with acute onset of chest pain. The patient reported he had some mild abdominal and epigastric pain the night prior, but in the morning, it became intolerable chest pain. The pain was described as […]