Case Presentation: A 58 year-old female with a history of pre-DM, HTN, cholelithiasis s/p cholecystectomy, and GERD presented to the clinic with a chief complaint of odynophagia. Symptoms began 3-4 days prior and were located primarily in the lower chest. The pain started abruptly with no precipitating factor and, while not worsening, was not improving. [...]

Case Presentation: A 22-year-old male with no medical history presented to the emergency department with a 4-day history of fevers and odynophagia which progressively prevented intake of solids and liquids. He reported associated shortness of breath with pleuritic chest pain. He appeared nontoxic with sputum collecting in a bedside cup. He had a fever of [...]

Case Presentation: The patient is a 50-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, heavy alcohol use, and one pack per day tobacco use who presented with epigastric abdominal pain, an episode of hematemesis, and a three-week history of nosebleeds and bloody sputum. After admission, the patient described the pain [...]

Case Presentation: A 29-year-old woman with a past medical history of mild intermittent asthma treated with albuterol and morbid obesity status post gastric sleeve surgery presented to the emergency department with sharp epigastric pain of two days duration. The patient was initially seen at an urgent care center and empirically treated for gastritis with omeprazole, [...]

Case Presentation: A 80-year-old female with a past medical history of diabetes mellitus, hypertension and coronary artery disease status post stenting 4 years ago presented with coffee ground emesis, epigastric pain, dysphagia and melena. On examination, her vital signs showed a heart rate of 92 beats/minute and blood pressure of 89/55 mm Hg. Her abdomen [...]

Case Presentation: A 48-year-old male with no significant past medical history presented with shortness of breath and midsternal chest pain after eating a bagel. Patient reported a globus sensation in his esophagus followed by multiple episodes of forceful retching prior to arrival. The patient denied a previous history of dysphagia or gastroesophageal reflux disease. In [...]

Case Presentation: A 44-year-old man with a history of asthma presented to the emergency department with six weeks of non-bloody diarrhea and one week of abdominal distension. He described no clear trigger for these symptoms and denied associated fever, chills, melena, and dysphagia. He noted a similar episode three years prior, which self-resolved after three [...]