Background: Approximately 10% adults with Sickle Cell disease (SCD) has Pulmonary hypertension (PHTN). There are several etiologies like hypoxia driven and microvascular obstruction contributing to PHTN. However, the in-hospital outcomes of PHTN on SCD has not been well studied. Methods: We queried 2018 National Inpatient Sample (NIS) database to identify SCD and different types of [...]

Background: Acute severe hypertension without evidence of end-organ damage (previously defined as hypertensive urgency) is a relatively common occurrence in the inpatient setting that can be frustrating and worrisome to both physicians and floor staff alike. Hypertensive urgencies have not been shown to be associated with increased short-term cardiovascular risk or mortality(1). Chronic hypertension is [...]

Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats [...]

Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss [...]

Case Presentation: This is a 37-year-old Cambodian male with a past medical history of chronic untreated hypertension and recent methamphetamine use presents with acute onset “tearing” chest pain. Physical exam was remarkable for tachycardia and tachypnea with increased work of breathing. In addition, the patient appeared in severe distress. CT examination showed that he had [...]

Case Presentation: Pulmonary hypertension (PH) affects 1% of the global population, including 10% of people over 65 and ~50% of people with Congestive Heart Failure (CHF). Pulmonary hypertension (PH) is classified into 5 clinical subgroups: pulmonary arterial hypertension (PAH), PH due to left-sided heart disease, PH due to chronic lung disease, PH due to chronic [...]

Case Presentation: We describe a case of new-onset unknown ascites due to atraumatic bladder rupture. A 56 year-old female with past medical history of functional urinary retention (prolonged urine holding due to phobia of public restrooms) and remote surgical history of TAH/BSO and C-section presented with recurrent ascites of unknown etiology. She initially presented to [...]

Case Presentation: A 7-week-old male was admitted to a children’s hospital by his pediatrician due to “failure to thrive” (FTT). He was born full-term, passed his critical congenital heart disease (CHD) screening, and had normal newborn screens. He was exclusively breastfed and regained birthweight by 9 days of age. Over the subsequent weeks, his parents [...]