Background: Pulmonary embolism (PE) and atrial fibrillation (AF) may coexist. The association and impact of AF on PE have not been well studied. Methods: We queried the 2018 National Inpatient Sample (NIS) database to identify PE and AF hospitalizations using appropriate ICD-10 codes. PE with AF group was compared to PE without AF. Chi-square test [...]

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 [...]

Case Presentation: A 51-year-old man with seropositive rheumatoid arthritis (RA) and chronic intra-abdominal arterial aneurysms attributed to RA-associated vasculitis presented with a one-day history of right upper quadrant abdominal pain and melena. His vital signs were within normal limits. Notable laboratory studies included hemoglobin 6.1 g/dL, total bilirubin 1.4 mg/dL, AST 161 U/L, ALT 217 [...]

Case Presentation: Mr. O is a 28 year old Navy cadet with no significant past medical history who presented to the Emergency Department with three days of malaise, nausea, polyuria, and polydipsia in the setting of recent steroids for a new rash. On presentation, Mr. O’s glucose returned at 624 mg/dL, pH was 7.28 and [...]

Case Presentation: 73 year-old-woman with a past medical history of previous cholecystectomy presented with a one-day history of right upper quadrant pain, nausea, and vomiting. The patient denied taking any herbal supplements or any new medications. Physical exam was significant for right upper quadrant tenderness, without rebound or guarding. On admission, labs were significant for: [...]