Case Presentation: A 27-year-old G6P4 female at 28 weeks of gestation presented with fever, headache, myalgias, nausea, vomiting, and diarrhea. Medical history was significant for polysubstance use, hepatitis C, anxiety, and depression. On the evening of presentation, she reported new-onset central chest pain. Vitals were significant for rectal temperature 93 F, blood pressure 95/58, and [...]

Background: Hepatic artery pseudoaneurysm (HAP) is a rare entity, potentially life threatening and associated with high mortality. The aim of this study was to evaluate Mayo Clinic enterprise’s clinical experience with HAP occurrence, clinical features and outcome in the last 20 years, and to compare our results with what the literature. Methods: This retrospective analysis [...]

Background: Abdominal aortic aneurysm (AAA), defined as aortic diameter ≥ 3.0 cm, affects an estimated 1.5% to 1.7% of men aged 65 or older. It was estimated that a ruptured AAA has a mortality rate of 75% – 90%. Screening for AAA with an abdominal ultrasound is relatively cost-effective. It was noted that screening for [...]

Case Presentation: 57 year old male with history of hypertension, hyperlipidemia, poliomyelitis with right leg atrophy and chronic crutch use presented with right-sided hearing loss, vertigo, and arm numbness. MRI brain and MRA head and neck revealed acute infarction in the right inferior cerebellum in the Anterior and Posterior Inferior Cerebellar Artery territories; left cerebellar [...]

Case Presentation: An 11 year old boy was admitted to the hospital due to 4 days of headache and vomiting. He described the pain as constant, sharp, occipital/frontal in location, and worse in the morning and overnight, specifically with laying down. Treatment with ibuprofen and acetaminophen had not provided relief. 6 months prior to this [...]

Case Presentation: This is a 52 year old Hispanic male with a history of bioprosthetic aortic valve replacement four years prior who presented with chest pain and abdominal pain. The patient was recently treated for aortic valve endocarditis with long-term intravenous antibiotic therapy lasting six weeks. The patient admitted to a one month history of [...]

Case Presentation: A 38-year-old male presented to the hospital with fatigue and progressive exertional dyspnea. He had a childhood history of Kawasaki disease (KD) with no treatment or subsequent follow up. Physical exam revealed marked volume overload, JVD, bibasilar crackles, and an S3 at the left ventricular apex.  EKG was unremarkable. Chest x-ray showed pulmonary [...]

Case Presentation: A 44-year-old man with no known medical conditions presented with acute, painless, left monocular blurred vision. There was no history of smoking or illicit drug use. Physical examination indicated blood pressure of 200/135 mmHg, heart rate 86/min and unremarkable cardiopulmonary exam. Fundoscopic examination showed branched retinal vein occlusion. Patient had elevated Troponin I. [...]

Case Presentation: A 69-year-old male with history of metastatic prostate cancer on chemotherapy presented with fever for three days. On presentation, he was tachycardic with a heart rate of 130 beats per minute. Physical examination was significant for right upper quadrant tenderness. Initial laboratory workup revealed leukocytosis with a white blood cell count of 17000 [...]

Case Presentation: A 28 year-old woman with AIDS and a CD4 count of 178 cells/mm3, not on antiretroviral therapy, presented with odynophagia for 2 weeks as well as increased swelling in her neck and inguinal area. She denied any neurological symptoms. On physical examination, the patient had extensive cervical lymphadenopathy with no other significant findings. [...]