Case Presentation: A 36 year old female with a past medical history of hypothyroidism, type two diabetes, asthma, polycystic ovarian syndrome, and bipolar disorder presents with sharp chest pain that radiates to her left neck and arm. She states that the pain started suddenly when she was sitting 10 hours ago and gets worse with [...]

Case Presentation: Chronic mesenteric ischemia (CMI) is defined as a gradual reduction of perfusion to the bowels. While bowel infarction is the primary concern with CMI, there may be a relationship between CMI and acute acalculous cholecystitis (AAC). We present the case of a 60-year old female with acute onset right upper quadrant (RUQ) abdominal [...]

Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, hyperesthesia, and stiffness. Physical exam revealed well-demarcated cyanosis of the fourth, fifth, and medial third digits extending to the wrist [...]

Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional [...]

Case Presentation: 61-year-old Caucasian male with a medical history significant for tobacco use disorder, and hypothyroidism presented to the emergency department (ED) with a two-week history of pain, numbness, and sensation of coolness affecting the inner aspect of right wrist/hand, fourth and fifth fingers unable to do his job as a house contractor. The symptoms [...]

Case Presentation: The patient is a 13-year-old female with attention-deficit/hyperactivity disorder (ADHD) and depression who presented following an intentional overdose of her lisdexamfetamine (Vyvanse™). She admitted to taking 15 – 40mg tablets in addition to 5 tablets of an unknown, over the counter sleep aid. She developed dizziness and mild non-radiating substernal chest pressure 10-15 [...]

Case Presentation: A 59-year-old woman presented with acute worsening of chronic abdominal pain and nausea. Her past medical history included a stable type-B aortic dissection. Over the previous year, she had multiple hospitalizations for postprandial abdominal pain associated with nausea and vomiting. The pain had been increasing in severity and had led to a 10-pound [...]

Case Presentation: A 51-year-old African-American female was admitted to the hospital with 3 days of bilateral calf pain, described as a severe cramping pain that started in the left medial calf. The patient first noticed the pain after walking two blocks. The pain did not subside with rest. The next day, the patient noticed similar [...]

Case Presentation: A 40 year old female presents with intermittent mid-sternal squeezing chest pain, radiating to the left arm since 2 days. She denied any positional change in symptoms or family history of coronary artery disease. Her medical history was significant for hypertension and smoking, and her only home medication was lisinopril. Physical examination was [...]

Case Presentation: A 65-year-old woman with history of hypertension and diabetes mellitus presented to ER with 3-day worsening abdominal pain that she was experiencing for about 4 months. Pain was sharp, mainly in periumbilical region and lower abdomen, associated with several episodes of vomiting, non-bloody diarrhea for two days, weakness and myalgia. On examination, she [...]