Case Presentation: An 86-year-old man with a history of stroke on apixaban and metastatic renal cell carcinoma on ipilimumab/nivolumab presented to our emergency room with lightheadedness. Transthoracic echocardiogram (TTE) for stroke evaluation performed 3 years prior revealed a patent foramen ovale (PFO). Vital signs were significant for hypoxemia to 85% on room air requiring high-flow [...]

Case Presentation: A 65-year-old male with a past medical history of bladder cancer, chronic kidney disease stage 3, colon cancer s/p colectomy with colostomy 2016, chronic hypotension on midodrine who presented initially with three days onset of inability to tolerate oral intake due to nausea, vomiting, and increased colostomy output. Other positive findings on the [...]

Case Presentation: 23-year-old female was admitted with thunderclap headaches of 2 days. She had a history of quadriplegia and autonomic dysreflexia from a remote cervical spinal cord injury and has been on midodrine for 2 years. She also reported blockage of the urinary catheter and experienced recurrent headaches when she attempted to flush the catheter. There [...]