Case Presentation: A 75 yo non-ambulatory woman with history of OSA, CVA, Atrial Fibrillation presented for urologic surgery, however was found to be dyspneic and hypoxic to spO2 84% on room air. These symptoms appeared to resolve when lying down, yet instantly returned when upright and often required non-rebreather (NRB) mask to stabilize. On presentation, [...]

Case Presentation: A 56 year old male with no prior medical or surgical history presented to the hospital with fatigue, palpitations, shortness of breath, and bilateral ankle swelling for 2 months. He had also developed 4 pillow orthopnea and paroxysmal nocturnal dyspnea but denied any chest pain or history of recurrent infections. He noted that [...]

Case Presentation: A 3-year-old male with past medical history of mild persistent asthma and allergic rhinitis presented with persistent hypoxia. He had a history of multiple prior hospitalizations for hypoxia, mainly in the setting of acute respiratory illness. At an outpatient cardiology visit, he was found to be hypoxic to 87%, though echocardiography was unrevealing [...]

Case Presentation: A 29 year-old male (AP) with history of ALL presented with neutropenic fevers after receiving intrathecal methotrexate one day prior. AP was in consolidation phase of treatment with most recent bone marrow biopsy showing hypocellular marrow without evidence of leukemia. On admission, he was febrile to 102.9 degrees Fahrenheit with pancytopenia and ANC [...]

Case Presentation: A 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 [...]

Case Presentation: A 56 year-old female teacher presents with 1-week history of shortness of breath. She noted progressive shortness of breath on minimal exertion over the past week. She denied associated pedal edema, orthopnea, epistaxis or chest pain. She noted associated cough with white frothy sputum and subjective chills. She denied rashes, exposure to sick [...]

Background: Syrian health system capacity has been devastated by a decade of conflict distinguished by frequent attacks on healthcare facilities and workers. The chronic nature of complex emergency created substantial gaps in formal training for what remains of the health system, leaving already impaired infrastructure vulnerable to the arrival of Covid-19 in mid-2020 to areas [...]

Case Presentation: A 21-year-old previously healthy female presented with a myriad of symptoms including one month of unintentional 20-pound weight loss, dyspnea with minimal exertion, syncopal episodes, palpitations, nausea, and vomiting. Prior to this, she had occasional syncopal episodes throughout her life but was athletic and participated in track in high school. Three months ago, [...]

Background: Hospitalizations to treat SARS-CoV-2 infected patients have strained health systems worldwide. Monitored outpatient management of select low-risk COVID-19 patients with isolated exertional hypoxia could help preserve hospital resources and reduce costs while aiming to maintain a high standard of care. In this retrospective cohort analysis, we aimed to evaluate the safety and effectiveness of [...]

Case Presentation: A 78-year-old man with a history of paraplegia secondary to spinal stenosis, who presented with worsening dyspnea, fatigue, and confusion. On presentation, he was tachypneic and hypoxic, requiring 4 liters of oxygen via nasal cannula.Initial imaging revealed a large left pleural effusion with significant left lung atelectasis, a moderate right pleural effusion, and [...]