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: 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 [...]

Case Presentation: A 19-year-old male with no known medical history presented to the ED after being found down and profusely diaphoretic by his parents. He was unresponsive to multiple doses of Ativan and Narcan. He was tachycardic to the 150s and had respiratory insufficiency, so he was intubated in the ED. Initial EKG showed sinus [...]

Case Presentation: A 25-year-old male with no significant past medical and family history presented with a one-week history of fever, productive cough, intermittent shortness of breath, diffuse muscle aches and one episode of syncope on the day of presentation. Initial workup in the emergency department was positive for COVID-19. Inflammatory markers, D-dimer and Fibrinogen levels [...]

Case Presentation: A 25-year-old male with a past medical history of well-controlled Celiac disease presented to the hospital with fever and altered mental status after a wellness check was initiated by a family member. The patient was feeling unwell over the past week with fatigue, headache, sore throat, vomiting, and diarrhea. On presentation he was [...]