Case Presentation: A 93-year-old African-American male with history of CVA, HTN, and dementia presented with a right femoral neck fracture after a same level fall. Vital signs on admission were unremarkable. Physical examination revealed a cachectic male at his baseline mental status. He was admitted and underwent uncomplicated right hemiarthroplasty. On post-operative days 3-5, patient [...]

Case Presentation: 36-year-old female with no past medical history presents with vomiting and abdominal pain after eating a meal. Symptoms were accompanied by diaphoresis, dizziness, and palpitations. On arrival to the hospital, patient’s vital signs were stable. Labs were significant for WBC 11 K/cumm, AST 64 U/L, ALT 47 U/L. Computed tomography of the abdomen/pelvis [...]

Case Presentation: A 73-year-old female with coronary artery disease, biventricular systolic heart failure requiring implantable cardiac defibrillator (ICD), paroxysmal atrial fibrillation (A-fib) treated with amiodarone for 2 years presented with abdominal pain, nausea, loss of appetite for 1 month. She also reported a recent ICD discharge. Initial vital signs were remarkable for a blood pressure [...]

Case Presentation: A 27-year-old woman with a past medical history of recurrent bilateral shoulder dislocations presented with three months of progressive constipation, early satiety, nausea, vomiting, and an 18 kg unintentional weight loss. Prior to this admission, she had seen orthopedic surgery due to her recurrent, spontaneous bilateral shoulder dislocations and was noted to have [...]

Case Presentation: A 61-year-old male with past medical history of hypertension, hyperlipidemia and coronary artery disease presented with sustained tachycardia. His history was remarkable for ST segment elevation myocardial infarction (MI) and had a stent placed in right coronary artery (RCA) 1 month ago. He was non-compliant with antiplatelet therapy and his RCA re-occluded within [...]

Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac arrhythmias have been reported.1 38-year-old male without prior cardiovascular history, presented to a rural hospital with pre-syncope and lightheadedness. He [...]

Case Presentation: A 47-year-old male presented with distal extremity and facial weakness. Physical exam and electroencephalogram showed myopathy with myotonic features and a distal predominance, characteristic of myotonic dystrophy type 1. Patient denied any chest pain, shortness of breath, presyncope, syncope, and palpitations. Due to associated risk of cardiac-related complications, a baseline electrocardiogram (ECG) was [...]

Case Presentation: A 36-year-old woman with a past medical history of postural tachycardia syndrome (PoTS), seizure disorder, left ICA aneurysm status post embolization, presented due to short 30-second episodes of syncope with concurrent hypotension and bradycardia for the past few years. The patient had multiple episodes of bradycardia and hypotension requiring pressors. The physical exam [...]

Case Presentation: A 74 year old lady with past medical history of urothelial cancer on pembrolizumab, atrial fibrillation on warfarin, systemic hypertension, diabetes mellitus and stroke presented from an outside hospital to the urology service with complaints of abdominal pain, fever and altered mental status. Her vitals on presentation were within normal limits with physical [...]