Background: Subclinical hypothyroidism (SCH) is underdiagnosed in patients with heart disease, however, there has been controversy surrounding whether it is a cardiovascular risk factor or not. To determine the prognostic significance of SCH in Heart Failure (HF) with Preserved Ejection Fraction (HFpEF) we followed a cohort of patients for 9 years. Methods: In this retrospective [...]

Case Presentation: A 66-year-old female with a history of stage IV non-small cell lung cancer (NSCLC) (90% PD-L1 +) on pembrolizumab (status post cycle 9) with metastasis to the left adrenal gland presented with a two-week history of malaise, nausea, and vomiting. Vital signs were stable and physical exam was euvolemic, with mild epigastric tenderness. [...]

Case Presentation: A 44-year-old male patient with a history of vitiligo, presented with a chief complaint of lower extremity tingling and numbness sensation. Upon evaluation, the patient reported unintentional weight loss along with fatigue and frequent palpitation. A review of blood testing revealed an elevated TSH level, HbA1c, a low T4, Free T3, and vitamin [...]

Case Presentation: A 64-year-old female with past medical history of seizures, breast cancer s/p bilateral mastectomy, hypothyroidism, anxiety and agoraphobia on Xanax, tobacco abuse presents to ED after husband found her unresponsive, with agonal breathing, slurred speech, and oral secretions. Last admission in 2019 was significant for Xanax and Benadryl overdose. On admission, vitals were [...]

Case Presentation: A 67-year-old man with history of Hashimoto thyroiditis was attending a routine clinic appointment and was found to have a resting heart rate of 40 beats per min and was referred to the emergency department. The patient had not been evaluated by a physician for two years and previous heart rates were unknown. [...]

Case Presentation: Pericardial effusion is relatively common in patients with uncontrolled hypothyroidism, but rarely, it progresses to cardiac tamponade. We describe a case of myxedema coma presenting with cardiac tamponade.   Discussion: A 63-year-old African American morbidly obese lady with history of hypothyroidism presented with worsening dyspnea and unresponsiveness. Family reported that she is non-compliant [...]

Case Presentation: A 62-year-old woman with a history of chronic kidney disease (stage 5) and acquired hypothyroidism secondary to radioactive iodine therapy for multinodular goiter presented with subacute slowed mentation, difficulty concentrating, slurred speech, visual hallucinations, and fatigue. Review of systems revealed cold intolerance, constipation, and dry skin. She was adherent to her daily levothyroxine. [...]

Case Presentation: A 74-year-old female presented to the ED with two days of shortness of breath and fatigue. She reported a past medical history of heart failure with reduced ejection fraction, chronic kidney disease, and essential hypertension. Medications included Lisinopril, Amlodipine, Furosemide, Atorvastatin, Aspirin, Famotidine, and Warfarin. She denied tobacco, alcohol, and illicit drug use. [...]

Case Presentation: A 52 y.o with a past medical history of uncontrolled, untreated hypertension presented to our hospital with a 3 week history of progressively worsening lower extremity edema and shortness of breath. Review of systems was positive for hoarse voice x6 months, unintentional weight gain, cold intolerance, abdominal fullness, and cough productive of white [...]

Case Presentation: A 58-year-old woman with a past medical history notable for thyroid cancer status-post thyroidectomy complicated by hypoparathyrodism presented with muscle spasms in her hands and feet for two days. Four days prior to admission she reported bloating and heartburn for which she reports taking an unknown quantity of lansoprazole and an H2 blocker. [...]