Background: Stroke is one of the most common causes of adult mortality. With changes in lifestyle, the increase in risk factors is leading to an increase in the number of cases. Mean platelet volume (MPV) is associated with an increase in platelet size and hence increased production of pro-inflammatory cytokines and increased expression of platelet [...]

Case Presentation: A 17-year-old male presented with 1 month of intractable hiccups, disturbing his sleep, and right-sided paresthesias, starting in his right upper extremity, localized to the 4th and 5th digits, then gradually spread to his bilateral lower extremities. He denied heavy lifting, fever, muscle weakness, back pain, or bladder/bowel incontinence. He first presented to [...]

Case Presentation: A 54-year-old never-smoker female with hypothyroidism and rheumatoid arthritis on etanercept presented with intermittent hemoptysis. Three days prior, she reported coughing ~100mL of frank blood and clots (Figure 1) over the course of 24 hours, with smaller volumes over the next two days (~50 mL total). She recounted a similar episode of hemoptysis [...]

Case Presentation: A 37-year-old woman with history of ulcerative colitis and focal nodular hyperplasia (FNH) of the liver presented with right upper quadrant (RUQ) abdominal pain. An extensive workup including endoscopic retrograde cholangiopancreatography (ERCP) eventually diagnosed primary sclerosing cholangitis (PSC).  However, review of systems was also significant for epistaxis.  Family history was significant for father [...]

Case Presentation: A 49 year old female with history of alcoholic cirrhosis presented to the ED after experiencing self-reported bright red blood per rectum that morning. Patient had history of numerous prior admissions for reported GI bleed with extensive endoscopic work-up; evidence of portal hypertensive gastropathy had been seen previously however no actively-bleeding lesions were [...]

Case Presentation: A 52 year old African American male with past medical history of hereditary hemorrhagic telangiectasia (HHT) on aminocaproic acid presents with epistaxis and hematochezia with a hemoglobin of 6.7 g/dL. Patient was diagnosed with HHT in his mid-30s when found to be profoundly anemic with reported hemoglobin of below 3 g/dL during incarceration. [...]

Case Presentation: 54 yo White Male with PMH of hereditary hemorrhagic telangiectasia (HHT) presented with right-sided focal neurological deficits, word finding difficulties, confusion and headache.  He was treated for a brain abscess with surgical resection and antibiotics X 1 month at an OSH attributed to recently sustained head trauma.  Follow up MRI 1 month later, [...]

Case Presentation: We report a case of 24-year-old male with past medical history significant for bicuspid aortic valve, epistaxis who comes to emergency department because of feeling lightheaded, generalized weakness and episode of syncope 2 weeks ago. The patient delayed seeking medical care as he had an exam the next day after he had syncope. [...]

Case Presentation: A 69-year-old woman with stage IV breast cancer presented with new onset abdominal pain, dyspnea on exertion, and fatigue causing her to present to our hospital. She denies chest pain currently but admits some in past 2 weeks. Denies palpitations, orthopnea, fevers, chills, recent illness, or exposures. CT abdomen showed an incompletely visualized [...]

Case Presentation: A 3-year-old male with past medical history of mild persistent asthma and allergic rhinitis presented with persistent hypoxia. He had a history of multiple prior hospitalizations for hypoxia, mainly in the setting of acute respiratory illness. At an outpatient cardiology visit, he was found to be hypoxic to 87%, though echocardiography was unrevealing [...]