Case Presentation: A 56 year old man presented to the emergency department with sudden onset of severe chest pain that radiated to his back. He had an initial HR of 72 and BP of 208/114. CT angiogram of the chest and abdomen revealed a large type B aortic dissection (AD). The patient was treated with [...]

Case Presentation: A 50-year-old man with a history of hypertension presented to the emergency department with a three-day history of nonstop hiccups. His systolic blood pressure was more than 200 and chest x-ray imaging was unremarkable. Over the next several days, his blood pressure remained elevated despite multiple medication additions, and he continued to complain [...]

Case Presentation: A 59-year-old woman presented with acute worsening of chronic abdominal pain and nausea. Her past medical history included a stable type-B aortic dissection. Over the previous year, she had multiple hospitalizations for postprandial abdominal pain associated with nausea and vomiting. The pain had been increasing in severity and had led to a 10-pound [...]

Case Presentation: This is a 37-year-old Cambodian male with a past medical history of chronic untreated hypertension and recent methamphetamine use presents with acute onset “tearing” chest pain. Physical exam was remarkable for tachycardia and tachypnea with increased work of breathing. In addition, the patient appeared in severe distress. CT examination showed that he had [...]

Case Presentation: Our patient is a 62-year-old Eastern European female with no significant past medical history who was brought to the emergency department after a sustaining a syncopal episode. At the time of exam, she was largely asymptomatic, and her review of systems was positive for a brief isolated episode of mild chest pain that [...]

Case Presentation: Patient is a 53 year old African American male with past medical history of hypertension who presented with syncope. He had this episode a total of 3 times, most recently 1 month prior and initial episode 1 year prior. He had resolution of symptoms both times and diagnostic workup did not reveal any [...]

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 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was [...]

Case Presentation: A 61-year-old male with history of hypertension, asthma, and morbid obesity presented with left arm, chest, and face numbness, back pain, and shortness of breath at rest. He denied weakness with the numbness. His symptoms were akin to “being kicked by an elephant.” These symptoms had been worsening for one week prior to [...]

Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history of hematemesis associated with midsternal chest pain. He reported taking a nifedipine tablet, which felt like it was “stuck in [...]