Case Presentation: A 60-year-old man with type 2 diabetes presented with dyspnea and chest pain for 5 days during the COVID-19 pandemic. He arrived in acute hypoxic respiratory failure, with an oxygen saturation of 45% on room air. Physical exam revealed coarse lung sounds bilaterally and accessory muscle use. Initial labs were notable for leukocytosis [...]

Case Presentation: A 40 year old woman (G4P4A0) with hypertension and hypothyroidism presented with sudden onset, severe, substernal chest pain while lifting heavy garbage bag. She was diagnosed with NSTEMI in the context of typical ischemic chest pain with trending troponins and EKG with T wave inversions in anterior leads. Transthoracic echocardiography revealed apical and [...]

Case Presentation: A 68 year old male with a history of severe hemophilia (factor VIII <1%) and hypertension presented with symptoms of nausea, vomiting, severe dyspnea, diaphoresis and substernal chest pain for several days prior to admission. On initial presentation, electrocardiogram revealed ST-segment depressions in leads V5 and V6, with a troponin elevation to 24, [...]

Case Presentation: A 66-year-old female presented to the hospital with two days of acute chest pressure which occurred at rest. It was intermittent in nature but had persisted over the past two days which prompted her to present to the hospital. She had a past medical history of diabetes mellitus, hypertension, and heart failure with [...]

Case Presentation: The patient is a 52 year old female with a history of Scleroderma, Raynaud’s, and APLS who presented to the emergency department for new onset chest pressure for 1 day. On physical exam, vital signs were 99 F, 152/99, 109, and 96% on RA and no cardiac murmurs, crackles on lungs, or pitting [...]

Case Presentation: 59 year-old male with history of hypertension, presented with right arm weakness and slurred speech for 15 minutes. He reported feeling difficulty grabbing items while at the grocery store with his cousin and after starting to slur his words, EMS was called. Upon exam in the emergency department, he regained full strength in [...]