Case Presentation: Ectopic Liver is generally observed intra-abdominally, its extension supra-diaphragmatically is a rare occurrence. There are only 23 such reported cases in literature with the majority being reported in younger age groups as an extension of the caudate lobe of the liver through a diaphragmatic hernia(1,2). However, the presentation of an ectopic liver as [...]

Case Presentation: A 40 year old female presents with intermittent mid-sternal squeezing chest pain, radiating to the left arm since 2 days. She denied any positional change in symptoms or family history of coronary artery disease. Her medical history was significant for hypertension and smoking, and her only home medication was lisinopril. Physical examination was [...]

Case Presentation: A 49-year-old man with a history of type 2 diabetes and obstructive sleep apnea presented after suffering a cardiac arrest at a local airport. He was reportedly healthy appearing until suddenly slumping over in his chair at the terminal. A bystander determined the patient was pulseless and initiated CPR. He received 3 shocks [...]

Case Presentation: A 19 year-old obese man presented to the emergency room with 5-day history of periumbilical rash, pain and bloody purulent umbilical discharge.On presentation, the patient was febrile (38.4 C), hypotensive (98/54 mmHg), and tachycardic (111 beats/min). On exam, the periumbilical region was erythematous, indurated, and tender to palpation without rebound tenderness or guarding.Laboratory [...]