Case Presentation: A 77-year-old female with a history of hypertension and diabetes, presented to the ER with sudden syncope. She reported severe retrosternal chest pain, associated with nausea and vomiting. She stated she has been under extreme emotional stress due to sudden death of a family member. Examination was remarkable for hypotension (70/40 mmhg), cold […]

Case Presentation: A 71 year-old man presented with two months of progressive decline in mental status and jaundice. He had a history of liver transplant eight years prior due to alcoholic cirrhosis. His family states he had continued abuse alcohol after his transplant; however he quit two months prior. He has had increasing confusion, yellowing […]