Case Presentation: A 49-year-old male with primary sclerosing cholangitis and newly diagnosed locally advanced cholangiocarcinoma was initiated on 5-Fluorouracil (FU) based chemotherapy (FOLFOX) as an outpatient (Figure 1). Within one day of receiving FOLFOX, the patient presented to the ED with acute, intermittent chest pain radiating to his left arm and shortness of breath. Vital [...]

Case Presentation: An 89-year-old female patient with a medical history of atrial fibrillation, TIA, and colon cancer stage IV for which she started Capecitabine three days before her presentation. She presented to the emergency department with intermittent chest pain that started the next day of starting Capecitabine. She was afebrile; her respiratory rate was 18, [...]

Case Presentation: A 30-year-old male with history of illicit drug abuse presents with refractory ventricular tachycardia (VT) and Torsades de Pointes (TdP). He was previously in a methadone program but was dismissed due to methadone abuse. He then started significant amounts (144 tablets; 288 mg) of loperamide to achieve euphoria. He presented to the ED [...]

Case Presentation: A 63-year-old female with history of end-stage renal disease, atrial fibrillation (AFib), cirrhosis, and Parkinson’s disease was admitted to the hospital after an unwitnessed fall with persistent encephalopathy and altered mental status. Upon admission the patient was found to have wide QRS complexes with an Atrial fibrillation, clinical findings of heart failure, and [...]

Case Presentation: A 46-year old Caucasian male with history of anxiety/depression-on citalopram, tobacco, alcohol use, bilateral chronic knee pain, presented to an outside facility with concerns of nausea, vomiting and epigastric abdominal pain. While undergoing evaluation, he was suddenly unresponsive, underwent CPR x3, found to have ventricular fibrillation rhythm and subsequently cardioverted with successful ROSC. [...]