Case Presentation: A previously healthy 4-year-old female born in Mexico was sent to the emergency department for elevated blood pressures noted at her routine outpatient clinic visit. On arrival, her blood pressure was 161/126. The patient reported polydipsia, polyuria, and weight loss. Her initial physical exam was unremarkable and her vitals were otherwise within normal [...]

Background: Obesity is associated with many cardiopulmonary comorbidities independently associated with worse health outcomes in acute illness, yet the physiological mechanisms potentially making obese patients more susceptible to COVID-19 remain uncertain. Adiposity-derived immunosuppression, increased thrombogenic potential, and predilection towards inflammatory hyperreactivity have all been postulated as potential mediators of this phenomenon. Yet, the most obvious [...]

Case Presentation: A 47-year-old woman with lupus presented with one week of urinary frequency and dysuria. Over the prior year, she had pelvic pain, night sweats, 20 pounds of unintentional weight loss, and eight episodes of pan-susceptible E. coli urinary tract infections (UTIs), each successfully treated. Her chronic medications were prednisone, hydroxychloroquine, and azathioprine.A computed [...]

Background: Despite advances in pharmacologic care for side effects of Hematopoietic stem cell transplant, patients often suffer from long hospitalizations, multiple side effects including fatigue, insomnia, nausea, anxiety, and poor sleep. Non-pharmacologic treatments for side effects of therapy are attractive adjuncts due to a low side effect profile. Purpose: To develop, implement and evaluate a [...]

Case Presentation: A 73-year-old woman with past medical history of hypertension, deep venous thrombosis and chronic kidney disease presented with nausea, vomiting, abdominal distension, weight loss and progressive deconditioning. Physical exam showed temporal wasting, abdominal distension with fluid wave, upper extremity sarcopenia, 3+ bilateral lower extremity edema, and generalized weakness impairing ability to walk. Creatinine [...]

Case Presentation: 61-year-old male with a known history of alcohol and tobacco abuse was admitted with 3 months history of headache, confusion, unsteady balance and unintentional weight loss. Laboratory tests included normal chemistry panel, complete blood count and negative hepatitis and HIV serology. Brain imaging showed 3 lesions in the right cerebral convexity with surrounding [...]

Case Presentation: A 20-year-old female presented to the emergency department with weakness and fatigue. She reported new onset midsternal chest pain that began approximately twelve hours prior to admission. She had noticed episodes of palpitations and tachycardia over the course of the past two months for which she was prescribed metoprolol tartrate, with no relief. [...]

Case Presentation: A 75-year-old man with a history of glaucoma and diabetes presented to the hospital for evaluation of bilateral painful conjunctivitis, vision loss, abdominal pain and diarrhea with associated 20-pound weight loss over the previous 3-4 months. Testing for Lyme disease, syphilis, Bartonella, Varicella, HIV, and TB were all negative. Rheumatologic workup showed positive [...]

Case Presentation: Introduction: Tracheal tumors commonly arise as metastasis from neighboring thyroid, esophageal, laryngeal or lung tumors. Primary tracheal tumors are extremely rare with an incidence of 1 in 1,000,000 persons per year. Often presenting with non-specific symptoms, diagnosis is difficult. Case Report: A 59-year-old Caucasian male with a history of marijuana abuse, arterial thrombosis, [...]

Case Presentation: An asymptomatic 27 year-old male with no past medical history presented with an incidental finding of a IV/VI systolic ejection murmur best heard at the left lower sternal border with parasternal heave. Physical examination was otherwise unrevealing with no lymphadenopathy. A subsequent transthoracic echocardiogram revealed a 4 cm by 2.5 cm intracardiac mass [...]