Case Presentation: A man in his 70s with a history of hypertension, CAD, and diabetes presented to the ED with severe bradycardia, nausea, vomiting, and weakness. EMS had administered atropine en route to the ED. His EKGs in the ED showed a junctional rhythm with obliterated p waves and ventricular escape complexes, and labs showed [...]

Case Presentation: A 57-year-old male with previous hemorrhagic stroke complicated by residual left sided deficits with vascular dementia, primary hypertension on a regimen of carvedilol 25mg twice daily, and recurrent urinary tract infections due to obstructive calculi presented with acute-onset lethargy and encephalopathy. Presenting vitals were notable for hypotension (64/53), bradycardia (43 beats per minute), [...]

Case Presentation: Hypermagnesemia is a rare but serious condition associated with impaired renal function. We report a case of bradycardia with hypothermia secondary to hypermagnesemia from consumption of milk of magnesia (MgOH2) in a patient with end-stage kidney disease (ESKD). A 52-year-old man with ESKD on emergent hemodialysis, diabetes mellitus, hypertension, and hyperlipidemia presented for [...]

Case Presentation: 72-year-old male with history of hypertension, Stage IIIB squamous cell cancer of the right lung status post chemo-radiation presented to the clinic for a routine annual physical. He was found to be bradycardic with heart rates in the 40s and was subsequently transferred to our hospital for further management.He was asymptomatic with a [...]

Case Presentation: A 54-year-old male with history of cocaine and marijuana abuse presented to the emergency room (ER) with a few-hour history of dizziness and abdominal pain. He also reported a two-month history of intermittent right upper jaw pain that he was treated for presumed gingivitis with analgesics and antibiotics. In the emergency department, vital signs [...]

Case Presentation: An 82-year-old man with a history of hypertension and known aortic insufficiency presented with bilateral lower extremity rash, ankle edema, and bradycardia. The ankle edema began two weeks prior to presentation followed by an erythematous, pruritic rash on his anterior shins. He initially presented to urgent care and was found to have a [...]

Case Presentation: A 63 year male with no significant cardiac history presented to our hospital due to attacks of severe right-sided throat pain for 5 weeks.  The pain was described as “sharp” and “stabbing,” with each episode lasting five seconds. These attacks would come in waves, at times up to ten per hour. After these [...]

Case Presentation: A 79-year-old woman was found minimally responsive in her home and brought to the hospital for evaluation. On arrival, she was bradycardic (32/min) and hypotensive (75/40) without fever, tachypnea (16/min), or oxygen needs (98% room air). Her initial exam was notable for somnolence, conjunctival injection with normal pupils, dry oral mucosa, slightly cool [...]

Case Presentation: A 65-year-old male with a past medical history of bladder cancer, chronic kidney disease stage 3, colon cancer s/p colectomy with colostomy 2016, chronic hypotension on midodrine who presented initially with three days onset of inability to tolerate oral intake due to nausea, vomiting, and increased colostomy output. Other positive findings on the [...]

Case Presentation: A 53-year-old African American woman with a history of systemic lupus erythematosus, refractory hypertension, and cerebrovascular accident, was found unresponsive and hypotensive at home. On presentation, the patient was drowsy but arousable and oriented to person, place and time. Vitals were notable for sinus bradycardia (50s) and hypotension (SBP in 90s). She was [...]