Case Presentation: A 57 year old female with history of systemic mastocytosis, hypertension and dyslipidemia presented to the emergency department with complaints of intermittent sub-sternal chest pain for 7 days. On presentation, vital signs were normal. Electrocardiogram (EKG) was done which revealed ST segment elevation in the anterior leads. Patient’s serum troponin I and CK-MB [...]

Case Presentation: A 22-year-old previously healthy man presented to the emergency department with sudden onset left flank pain that began shortly after shoveling his driveway and radiated to his groin. He noted mild dyspnea while shoveling but otherwise denied urinary or constitutional symptoms. His physical exam was notable for fever with a temperature of 38.2C, [...]

Case Presentation: A 28-year-old Caucasian male of European descent presented to the emergency department with a four day history of left upper quadrant abdominal pain that occurred following a day of skiing at 11,000 feet. On initial examination, he was afebrile, hemodynamically stable, and in distress from abdominal pain that localized to his left upper [...]

Case Presentation: A 41-year-old male with a past medical history of hypertension and occasional alcohol use presented to our facility for progressively worsening shortness of breath and flu-like symptoms of six days duration. The patient was started on oseltamivir at an urgent care two days prior to presentation. On evaluation, the patient was diaphoretic and [...]

Case Presentation: A 63-year-old female with a past medical history of hypertension, atrial fibrillation, type 2 diabetes, multiple strokes with residual left sided deficit, and chronic kidney disease, who presented with altered mental status (AMS) after losing consciousness for 20 minutes during which family noticed left sided facial droop and dysarthria. The patient denied chest [...]

Case Presentation: A 48-year-old female presented with a 1-day history of exertional, non-positional, mid-sternal, severe chest pain associated with nausea, palpitations and dyspnea. She denied orthopnea, ankle swelling, cough, wheeze, coryza, fever, chills, or recent ill contacts. Past medical history: asthma, vertebral artery dissection, hypothyroidism, migraines, and severe acute respiratory syndrome coronavirus 2 (COVID-19) infection [...]

Case Presentation: A 47-year-old female with a history significant for poorly controlled T1DM and hypothyroidism presented after being found unresponsive following episodes of vomiting for the past 24 hours. The patient was found to have DKA, high anion gap metabolic acidosis, and shock with blood pressure of 65/31. Labs showed blood glucose levels of 983, [...]

Case Presentation: A 60-year-old female with no past medical history presented to the emergency department with subacute worsening right thigh swelling and pain. Her history included mild trauma to her right thigh during a recent cross-country road trip. Her physical exam showed significant swelling and tenderness to the anteromedial right thigh with palpable distal pulses [...]

Case Presentation: A 45-year-old woman with a Glasgow Coma Scale score of 7 was admitted to our hospital because of impaired consciousness. On the day of admission, she appeared well and was performing her routine work until approximately 6 pm. At 9 pm, her husband found her lying unresponsive on the bed, and she was [...]

Case Presentation: A previously healthy 42 year-old man was admitted with acute abdominal pain. He described onset of periumbilical pain on the morning of admission, resolving after an episode of non-bloody, non-bilious emesis. Later that day, he developed a severe, sharp, constant and non-radiating left lower quadrant pain associated with emesis. He denied fevers, chills, [...]