Case Presentation: A 17 year old female presented with 4 days of worsening epigastric pain, persistent bilious emesis, one episode of diarrhea, anorexia and fever for two days. Initial examination revealed an ill appearing, tachycardic patient who had diffuse generalized abdominal tenderness with guarding and decreased bowel sounds. Labs revealed normal complete blood count, urinalysis […]

Case Presentation: Radiation associated cardiac disease (RACD) is an important adverse effect which may not present until years to decades following therapy. Presentations include arrhythmias, acute coronary syndromes, heart failure and valvular pathologies, as seen in this presentation. A 50-year-old female with past medical history of breast cancer treated with chemo-radiation eight years prior presented […]