Case Presentation: A 40 year old recently immigrated Indian male with medical history significant for two episodes of hemorrhagic dengue fever presented with a three day history of epistaxis, gingival bleeding, hematuria, hematochezia and a vesicular rash. On presentation, the physical exam was remarkable for a large mucosal hematoma, gingival bleeding, and diffuse hemorrhagic vesicular [...]

Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss [...]

Case Presentation: A 19-year-old man with past medical history of recently incompletely treated H. pylori presented to the ED with severe abdominal pain, nausea, and vomiting for 20 days. Vital signs were normal, and physical exam was unremarkable. CT abdomen/pelvis showed diffuse gastric wall thickening with mucosal enhancement and mesenteric, gastrohepatic ligament, and para-aortic adenopathy. [...]

Background: Helicobacter pylori (H. pylori) infection is a common cause of gastroduodenal ulcers (GDU), and current guidelines recommend evaluation and eradication of H. pylori to promote healing of GDU and prevention of H. pylori-associated diseases. This quality improvement projects aimed to quantify and improve the rate of H. pylori testing and eradication after endoscopic diagnosis [...]

Case Presentation: We present the case of a 53-year-old male with hypertension presented to the emergency department with progressively worsening of altered mental status. Family reported fatigue, poor appetite, confusion, slow responses, social withdrawal, missing work. Patient experienced slowing of thought process, soft speech, déjà vu (events replaying over and over again in mind). He [...]