Case Presentation: A 27-year-old man with HIV/AIDS was directly admitted to the hospital by his infectious disease specialist for worsening and recurrent headaches accompanied by a multitude of episodic neurologic symptoms, including off-balance sensations, left arm numbness and tingling, left-sided decreased hearing, and slurred speech.  He had a history of shingles five months prior which [...]

Case Presentation: A healthy 42-year-old female presented to the emergency room complaining of bright red blood per rectum for one day, associated with a severe lower abdominal pain and tenesmus. Her medications included oral contraceptives which she took for menopausal symptoms. Upon presentation, the patient was afebrile, tachycardic, and normotensive. On exam, the patient had [...]

Case Presentation: A 55-year-old female with a past medical history of seizure disorder and prior opioid use presented to an outside emergency department with a 1-day history of expressive aphasia and headache. Her NIH Stroke Scale was 4. CT head w/o contrast demonstrated a subacute infarct within the left middle cerebral artery (MCA) territory and [...]

Case Presentation: A 33-year-old female with a history of limited Scleroderma diagnosed in 2015 and prescribed Methotrexate but non-adherent to same, presented to the Emergency Room with one day of acute onset dizziness associated with nausea and vomiting. An urgent CT head was performed, which was negative for acute intracranial pathologies. The patient was discharged [...]

Case Presentation: A 77-year-old female with atrial fibrillation (AF) on flecainide, sinus node dysfunction (SND), and permanent pacemaker presents with frequent palpitations. EKG showed regular, wide-complex tachycardia with ventricular rate of 137 BPM. Device interrogation revealed atrial flutter with 1:1 AV conduction (AL11AV). Rhythm terminated with overdrive atrial pacing along with resolution of symptoms. Troponins [...]

Case Presentation: A 51 year old female with a history of schizophrenia, COPD, and obstructive sleep apnea presented to hospital with complaints of generalized fatigue and acute onset of right-sided extremity weakness. The patient’s family members noted progressive lethargy and confusion on the day of admission. Family members reported the patient’s difficulty with ambulation and [...]

Case Presentation: A 55 year-old woman with past history of antiphospholipid syndrome complicated by multiple deep vein thromboses and miscarriages, prior hemorrhagic stroke, chronic slow GI bleed with iron deficiency anemia, thrombocytopenia, and CKD stage 3 presents to the ED with two-month history of progressively worsening shortness of breath and chest discomfort with exertion, which [...]

Case Presentation: Dolichoectasia is a rare disorder of the cerebral arteries known to causes tortuosity, elongation, and dilation of the affected vessel. Most commonly involved vessels are those of the vertebrobasilar circulation, with an elevated risk of ischemic infarct. Here we have a case of such a rare presentation of ischemic stroke in the setting [...]

Case Presentation: A 64 year old female with a pmh of Klinefelter’s syndrome (XXY) s/p gender reassignment surgery, hypothyroidism, asthma, obesity, hyperlipidemia and diverticulosis presented with 6 days of worsening lower abdominal pain and discomfort with diarrhea, mucus and bloody stools along with low-grade fevers, nausea, fatigue, weakness and lower abdominal cramping exacerbated by bowel [...]

Case Presentation: A 63 year old African American female with history of hypertension was admitted to the hospital for COVID-19 and hypoxia. She was treated with Remdesivir, dexamethasone and convalescent plasma in January 2021. Symptoms improved and she was discharged on steroids and anticoagulation. Six weeks later she started complaining of shortness of breath. CTA [...]