Case Presentation: Budd Chiari is a rare disorder caused by hepatic venous outflow obstruction with resulting hepatic dysfunction. It affects 1.4 per million people a year, and presentation depends upon the extent and rapidity of hepatic vein occlusion. This case is noteworthy given it presents the rapid progression of liver dysfunction in the setting of newly [...]

Case Presentation: A 46-year-old white male with a history of prior MI (at age 37) presented to ED with left-sided weakness, facial droop, and decreased left-arm sensation. He did not have a history of obesity, hypertension, smoking, excess alcohol consumption, or hyperlipidemia but had a family history of a sister who had a stroke in [...]

Case Presentation: A 58-year old female with history of breast cancer and uterine fibroid, presented to the ED with worsening right leg pain and swelling associated with red skin discoloration and blanching skin. There was no history of fever, dyspnea, coughs, chest pain, hemoptysis, diaphoresis, palpitations, oral contraceptives or tobacco use. She has family history [...]