Case Presentation: A 49-year-old man with known history of class III obesity (body mass index 43), hypertension, hyperlipidemia, and insulin dependent diabetes presented to the emergency department with bilateral lower extremity swelling and dyspnea on exertion of two weeks duration. Pertinent vitals included blood pressure 161/74 mmHg, heart rate 99 beats per minute, and saturation [...]

Case Presentation: A 3-year-old previously healthy female presented as a transfer from an outlying facility with a 1.5-week history of no stool output and progressively worsening abdominal pain. Trials of polyethylene glycol at home were unsuccessful. She subsequently developed a distended, firm, acute abdomen on the day of admission. There was no associated fever, vomiting, [...]

Case Presentation: A 64-year-old male with a history of mitral valve prolapse (MVP) presented with palpitations that began the evening before admission. He had similar episodes three weeks prior that resolved spontaneously. Diagnosed with MVP in 2022 via transthoracic echocardiogram (TTE) after experiencing palpitations and shortness of breath, he underwent multiple echocardiograms and EKGs. In [...]

Case Presentation: A 53-year-old female elementary school teacher with a history of genital herpes and aseptic viral meningitis presented with two days of severe headache, neck stiffness, fever, nausea, vomiting, bilateral leg weakness and back pain. Her headache was sudden, severe (10/10) and diffuse, progressed to neck stiffness and was associated with photophobia, fever, chills [...]

Case Presentation: 43-year-old patient with Down syndrome, intellectual disability and unrepaired atrioventricular canal defect with Eisenmenger syndrome presented with coffee ground emesis and worsening respiratory status. Home medications included metoprolol and folic acid. Patient lived in a foster home and an accurate history was not available. On examination BP was 88/60 mm hg, HR was [...]

Case Presentation: A 34-year-old African American female with no significant past medical history presented to the emergency room complaining of intermittent palpitations associated with dizziness and dyspnea on exertion for six weeks. She had similar symptoms a year prior, which had resulted in a syncopal episode, however work up at that time was insignificant. Three [...]

Case Presentation: A 70-year-old male presented with a low-grade fever, progressive weakness and urinary frequency. Prior to this admission, he had a diagnosis of recurrent urinary tract infection (UTI) that was treated with antibiotics. A CT scan of his abdomen and pelvis, performed out of concern for an abscess, revealed right-sided ureterohydronephrosis. A stent was [...]