Background: Unnecessary hospitalizations and testing for syncope remain common (1), and physician attitudes continue to favor overuse for syncope (2). Structured protocols, specialized units, and decision support algorithms may reduce health service use, but lack of data precludes the ability to advocate for use of a specific decision support algorithm (3). Purpose: Our primary aim [...]

Case Presentation: A 37-year-old woman with a history of endometriosis, fibroids status post fibroidectomy, and previous spontaneous pneumothorax presented with 3 days of progressively worsening right pleuritic chest pain and dyspnea on exertion. She had a similar presentation nine months prior at an outside hospital and was found to have a spontaneous right pneumothorax requiring [...]

Case Presentation: A 92-year-old women with a medical history of hypertension, type 2 diabetes, and surgical resection of colon and renal cancer presented to the emergency department with high-grade fever and purulent sputum. She visited her primary care physician with the complaint of fever 5 days prior to visiting our hospital and was prescribed antibiotics [...]

Case Presentation: A 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 [...]

Case Presentation: A 52-year-old male with medical history of diabetes mellitus, hypertension, and hyperlipidemia presented to ER for right upper extremity swelling for 3 days. He reported a feeling of heaviness in his right arm and associated pain with movement. He denied any trauma, history of blood clots, or cancer and endorsed a family history [...]

Case Presentation: Thoracic Endometriosis Syndrome (TES) is a rare condition characterized by the presence of endometrial tissue inside the thoracic cavity. It consists of four distinct clinical entities: catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. We report the case of a 47-year-old woman with TES presenting as spontaneous hemopneumothorax. Patient is a 47-year old [...]