Case Presentation: An 18 year old Spanish speaking male from Honduras presented following a motor vehicle accident. Initial assessment in the ED included a CXR and bedside Echocardiogram which noted cardiomegaly and a reduced EF of 15%. Patient reports experiencing headaches, blurry vision, palpitations, and non-radiating left sided chest pressure intermittently over the last four [...]

Case Presentation: We describe a patient with relapsing polychondritis (RPC) who developed a complete heart block, mitral valve insufficiency and aortic root dilation. A 72-year-old man with a history of RPC presented with fatigue, lightheadedness and syncope, which was secondary to the new onset complete heart block (CHB). Further investigation showed an elevated C-reactive protein [...]

Case Presentation: A 72-year-old-female presented to the ED with an 8-month history of intermittent, progressive, substernal chest pain. EKG showed normal sinus rhythm without ischemic changes and troponin was negative. CT Angiogram showed a moderate pericardial effusion and mild wall thickening of the thoracic aorta concerning for vasculitis. Cardiac MRI showed aortitis with mild pericarditis [...]

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: A 58 year-old woman with a past medical history of bipolar disorder, pulmonary embolism, opioid use disorder, and hypothyroidism presented to the hospital after being found unresponsive. Review of systems were only positive for confusion and bilateral lower extremity pain/swelling. Initial vital signs included a blood pressure of 79/48 mmHg, a heart rate [...]

Case Presentation: A 54-year-old female with hypertension and tobacco use presented with two months of new onset constipation and progressively worsening, diffuse, generalized abdominal pain, early satiety, and a 30-pound weight loss. She was found to be anemic. A colonoscopy was performed that was unremarkable. Two months later, with no symptomatic improvement with laxatives, she [...]

Case Presentation: An elderly male with history of hypertension and significant hearing impairment presented for the evaluation of progressive dyspnea on exertion. Patient had been experiencing dyspnea for a few months and family had noticed patient’s lips turning cyanotic on occasion. Admission vitals: temperature 100.8 degrees, BP 121/64, HR 96, RR 20, O2 sat 95% [...]

Case Presentation: A 75 year-old man with no significant history presented with four weeks of malaise and lower extremity rash, five days of cough and rhinorrhea, and one day of pleuritic chest pain that he attributed to incessant coughing. On arrival he was febrile to 38.3 Celsius and tachycardic to 120 beats per minute. His [...]

Case Presentation: A 70-year-old male with a past medical history notable for HFrEF, CAD, hypertension, hyperlipidemia, CKD, and CHRF presented to an outside emergency department with a two-month history of unintentional weight loss, nausea, and worsening lower abdominal pain radiating to the back. CT angiogram showed abnormal soft tissue enhancement around the infrarenal abdominal aorta. [...]