Case Presentation: A 62 year old incarcerated male presented to an outside hospital for a near syncopal event. He reported increased general fatigue, dyspnea with exertion, edema of bilateral legs, weight gain of 20 pounds, and orthopnea over the prior two months without any other associated symptoms. His past medical history included diabetes mellitus type [...]

Case Presentation: A 31 year-old woman with a history of portal vein thrombosis at age 8 with cavernous transformation resulting in non-cirrhotic portal hypertension presented with acute onset of upper abdominal pain. The patient was pale, tachycardic, with diffuse abdominal distention and tenderness. Laboratory data was significant for an acute drop in hemoglobin from 14 [...]

Case Presentation: A 15-year-old female was transferred to our facility with a complaint of worsening chest pain for the previous two weeks. The pain initially started in her shoulders and then spread to her substernal area. She had initially presented to the same facility three days previously and was discharged with a diagnosis of musculoskeletal [...]