Case Presentation: A 59-year-old female presented to the emergency department with a 5-day history of cough, chest pain, shortness of breath, and fever. She also reported nausea, vomiting, right upper quadrant abdominal pain and arthralgia. She denied any headaches. Past medical history was remarkable for gallstones. On physical exam, she appeared in moderate distress, was […]

Case Presentation: A 53 year‐old male with known history of congestive heart failure, coronary artery disease, diabetes type II present emergency department with altered mental status. The patient had gradual worsening of difficulty breathing last one month. He also had nausea and vomiting for a day. The patient has been having chest pain which were […]