Case Presentation: A 24 year old African American woman with a history of tricuspid regurgitation and ligament laxity presented to the emergency department, ED, complaining of sudden onset of palpitations and dizziness for one day. Her EKG upon arrival demonstrated atrial fibrillation, AF, with rapid ventricular response at a rate of 158. She was cardioverted […]

Case Presentation: A 24-year-old man with no significant past medical history presented with a petechial perifollicular rash, polyarthralgia of his large joints (hips, spine, knees), 20-pound weight loss, myalgia, and fatigue, all of two months duration. For prior six months, the patient had been homeless, living in his car which he scrupulously cleaned with Lysol […]