Case Presentation: A 28-year-old female with a known history of seropositive rheumatoid arthritis presents with a non-healing ulcer on her right ankle. She received local wound care and antibiotics for three months prior to this admission. She also complained of increasing pain and stiffness in the small joints of hands and feet as well as […]

Case Presentation: A 67 year-old-man with a history of hepatitis C cirrhosis and a recent diagnosis of hepatocellular carcinoma (HCC) presented with six months of worsening dyspnea on exertion and one month of progressive typical angina with physical activity. Initial physical exam was notable for tachycardia, jugular venous distention, a right-ventricular heave with an S3, […]