Case Presentation: A 56-year-old man with a past medical history of hypertension, hyperlipidemia, polysubstance abuse, and perforated appendicitis presented to the emergency department for one-week right lower quadrant abdominal pain. Of note, two-years prior, the patient had one-day of similar pain associated with nausea and emesis. A computed tomography (CT) scan of the abdomen and [...]

Case Presentation: This is a case of cardiac myxoma in a 78-year-old female with a history of atrial fibrillation on chronic anticoagulation. The patient presented to the Emergency Department with left-sided intermittent chest pain and a one-month history of exertional fatigue and dyspnea. Physical examination revealed a diastolic rumble in the left lower sternal border. [...]

Case Presentation: Ectopic Liver is generally observed intra-abdominally, its extension supra-diaphragmatically is a rare occurrence. There are only 23 such reported cases in literature with the majority being reported in younger age groups as an extension of the caudate lobe of the liver through a diaphragmatic hernia(1,2). However, the presentation of an ectopic liver as [...]

Case Presentation: A 76 year-old African American female with no past medical history presented with new onset shortness of breath and substernal chest pressure of three week duration. She noted that she had been previously healthy without any issues prior to this incident. On presentation, the patient was afebrile and normotensive (125/76) but tachycardic (110 [...]

Case Presentation: This is a 49 year old female, with no significant medical history, who started having intermittent fevers, night sweats, and fatigue 11 months prior. She reported a temperature of 100.4°F with cough and rhinorrhea, diagnosed as bronchitis with an elevated CRP of 40 mg/L. She reported some improvement with azithromycin but continued to [...]

Case Presentation: A 73-year-old woman with past medical history of hypertension was discovered unresponsive at home, prompting initiation of CPR during transportation to the Emergency Department, resulting in the restoration of spontaneous circulation (ROSC). A chest x-ray indicated the presence of left-sided tension pneumothorax, necessitating the placement of a chest tube. Initial electrocardiogram (EKG) findings [...]

Case Presentation: A 50 year-old female with a past medical history of migraines on triptan therapy presented to an outside ED with a 1 day history of chest pain and was transported emergently to a tertiary hospital for suspected STEMI. She had a troponin of < 0.012 with inferior ST elevations on ECG. STEMI was [...]

Case Presentation: A 49-year-old male with a history of OSA on CPAP, Parkinson’s disease, hyperlipidemia, and obesity presented to the emergency department with a three-week history of progressive dyspnea on exertion (DOE) and abdominal pain on exertion that radiated into his chest, neck, and jaw that resolved after rest. He had an intentional 50-lb weight [...]

Case Presentation: Patient is a 53-year-old female with a medical history of hypertension, hyperlipidemia, diabetes, and tobacco use, presented with a right middle cerebral artery (MCA) stroke and left-sided weakness. She initially delayed seeking care, attributing her symptoms to chronic back pain, but was eventually brought to the hospital by her family. MRI revealed a [...]

Case Presentation: A 59-year-old female with a history of metabolic associated fatty liver disease, obstructive sleep apnea, recent cholecystectomy and gastroesophageal reflux disease presented to the emergency department with rigors, lethargy and R sided chest pain. Her presentation was notable for temperature to 101F and tachycardia. Lab work demonstrated no leukocytosis (WBC 7.7), elevated procalcitonin [...]