Case Presentation: A 61-year-old man presented to the emergency department with one-month history of intermittent lightheadedness and dizziness. His symptoms were worse when standing from sitting position. He denied vomiting, diarrhea, and his appetite was stable. His past medical history was remarkable for IgM multiple myeloma for which he underwent stem cell transplant a year [...]

Case Presentation: A 46 year old male patient with history of Hodgkin’s lymphoma in remission, and hypercoagulable state, status post IVC-F placement in 2005 and anticoagulation. He presented with hypotension and dizziness. He has been suffering from dizziness for several months but it has been getting progressively worse, to a level that he is unable [...]

Case Presentation: A 68 year­-old man with prior Agent Orange exposure in Vietnam presents with 6 months of progressive orthostatic hypotension (OH), syncope, 60 lb weight loss, and lower extremity weakness, parasthesias, and allodynia.Prior workup found mildly elevated troponin and BNP, but a normal stress test. Midodrine had no improvement in OH, and BP on [...]

Case Presentation: 64-year-old man with history of schizoaffective disorder, hypertension, cigarette smoker (quit recently) was admitted to the hospital with acute onset recurrent falls in the last 2 weeks. Medications include buspirone 10mg, amlodipine 2.5 mg, metoprolol 50 mg, clozapine 450 mg. He had hypotension on presentation, which improved with fluids. Symptomatic orthostatic hypotension persisted [...]

Case Presentation: 73 year old male veteran with hypertension and stroke presents with progressive anasarca and dyspnea. The patient’s blood albumin level was < 1 g/dL, and his urine protein to creatinine ratio was > 5.5 grams per day, leading to a diagnosis of nephrotic syndrome. Renal biopsy revealed Immunoglobulin Light-Chain (AL) Amyloidosis. He responded [...]

Case Presentation: A 68-year-old Caucasian male with a history of hypertension, prediabetes (A1c 5.9), and chronic gout presented to the hospital with acute transient left-sided weakness and numbness. MRI confirmed a small acute CVA and CTA revealed complete occlusion of right internal carotid artery (ICA) and 75% stenosis of left ICA. Workup included a negative [...]