Case Presentation: We describe an interesting case of a 59-year-old female patient who arrived unresponsive to ED, with symptoms concerning for acute coronary syndrome(ACS). There was no informant present along with the patient, so very limited information was available about patient’s past medical history or risk factors. EMS personnel who accompanied the patient reported that [...]

Case Presentation: A 50-year-old male with a history of hypertension, hyperlipidemia, and mitral valve prolapse presented to the ED per ophthalmology for further evaluation after 2 weeks of progressive bilateral vision changes, floaters, eye redness, and pain. On his initial presentation to eye clinic, he was diagnosed with bilateral panuveitis and managed with hourly prednisone [...]

Case Presentation: Radiation associated cardiac disease (RACD) is an important adverse effect which may not present until years to decades following therapy. Presentations include arrhythmias, acute coronary syndromes, heart failure and valvular pathologies, as seen in this presentation. A 50-year-old female with past medical history of breast cancer treated with chemo-radiation eight years prior presented [...]

Case Presentation: A 26-year-old woman with systemic lupus erythematosus (SLE) of ten years (status post renal transplant complicated by secondary acute rejection) presented to the Emergency Department with a week and a half of bilateral lower extremity edema and nausea. The patient’s lower extremity edema began nine days prior to admission and was slowly worsening. [...]

Case Presentation: A 75-year-old male with a history of gastrointestinal bleeding (GIB) due to angiodysplasia, aortic stenosis (AS) status post TAVR, moderate-severe mitral regurgitation (MR), CKD, GERD, and atrial fibrillation not on anticoagulation presented due to lightheadedness for 1 day when standing up, and fatigue for a few weeks. He also reported dark brown stools [...]