Introduction: Right bundle branch block with ST-segment elevation in leads V1 through V3 is the electrocardiographic (ECG) marker of the Brugada pattern. The Brugada pattern was first described as a genetically, autosomal dominant, determined disease caused by mutation in the sodium channel. However over time, the Brugada pattern has also been reported to be transient, [...]

Case Presentation: A 24 year old male presented for cardiology evaluation after a syncopal episode. At the time of the event, he experienced dizziness and was witnessed to fall and hit his head. Neurological assessment was unremarkable.  Echocardiogram showed normal cardiac architecture and function. During cardiology follow up, past history was thoroughly examined. The patient [...]

Case Presentation: A 30-year-old previously healthy man presented with one week of fatigue, malaise, and confusion, complaining of dull neck pain. In the ED he became acutely agitated and combative, eventually requiring sedation and intubation for altered mental status. Initial vitals were normal, with BP 130/85 and HR 66, but then patient developed a fever [...]

Case Presentation: A 51 year old Haitian male with a history of hypertension and what he described as “low sodium” presented to the emergency room with 4 days of dizziness, frontal headache, and nausea preceded by a 2 week onset of dry mouth and malaise. He had been prescribed hydrocortisone on a previous hospitalization, which [...]

Case Presentation: 36-year-old female with no past medical history presents with vomiting and abdominal pain after eating a meal. Symptoms were accompanied by diaphoresis, dizziness, and palpitations. On arrival to the hospital, patient’s vital signs were stable. Labs were significant for WBC 11 K/cumm, AST 64 U/L, ALT 47 U/L. Computed tomography of the abdomen/pelvis [...]

Case Presentation: A 55 year-old Korean male with a past medical history of hypertension and hyperlipidemia presented to the Emergency Department after feeling short of breath with chest pain, palpitations, mottled skin and blue lips. He endorsed five days of fever, headache, shortness of breath, abdominal pain and nausea. He denied recent travel and sick [...]

Case Presentation: Case 1: A 14-year-old male presented to the ED with history of a convulsive syncopal episode (third lifetime event). All syncopal episodes occurred with exertion and required cardiopulmonary resuscitation. Episodes were initially considered to be due to a seizure disorder and were treated with antiepileptic therapy (Keppra). Given event recurrence despite escalating doses [...]

Case Presentation: A 60-year-old man presented with several days of diarrhea, fevers, and syncope. Past medical history was significant for recurrent syncopal episodes, all of which occurred during febrile illnesses. Review of systems was negative for chest pain or other cardiac symptoms. His vital signs were normal except for a temperature of 39°C. ECG showed [...]

Case Presentation: 59 year old man with past medical history of renal cell carcinoma, with right nephrectomy 20 years ago, presented to the Emergency Department with fever and dysuria. Upon presentation, he was found to have a oral temperature of 102.0 F, a tender prostrate on exam and leukocytosis with neutrophilia suggestive of acute bacterial [...]

Case Presentation: A 57-year-old Hispanic man with a past medical history of essential hypertension and nephrolithiasis, presents to the emergency room with a witnessed syncopal event lasting less than a minute. He also refers a two day history of subjective fever and dysuria associated with nausea and anorexia. Further review of systems was unremarkable. He [...]