Background: Patent Foramen Ovale (PFO) is a common abnormality that affects between 25% and 34% of the general population. For most people, it is a benign finding; however, in some, the PFO can be wider, allowing a paradoxical embolus to transit from the venous to the arterial circulation, which is associated with cryptogenic stroke, migraine, [...]

Case Presentation: An 82 year-old presented with acute onset hypoxia after a laparoscopic subtotal gastrectomy for stage I gastric adenocarcinoma. Upon extubation, she had positional episodes of desaturation to 79% when sitting up, with other vitals signs normal and no dyspnea. Her oxygen saturation was 91% when supine. Her lungs were clear to auscultation bilaterally. [...]

Case Presentation: 21-year-old Caucasian male with no known medical history, has brought himself to the ED for evaluation of short-term memory issues. The patient denies any fever or chills, weakness, head trauma or similar complaints in the past. He exercises regularly, denies smoking alcohol or drug use. He has been using was finasteride since an [...]

Case Presentation: The patient is an 83-year-old female with hypertension, hyperlipidemia and carcinoid tumor with metastasis to the liver. Two months after her oncologic diagnosis, she presented to the hospital for severe dyspnea and palpitations. Her dyspnea had been progressively worsening for six months; the palpitations were associated with exertion and resolved with rest. Her [...]

Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was [...]

Case Presentation: This is a 37-year-old male presented to ED with bilateral leg numbness and incontinence. An MRI was done that revealed herniation of nucleus pulposus of lumbar intervertebral disc with sciatica and he was taken to the OR for an emergent Full L4 laminectomy, bilateral L4-5 microdiscectomies, bilateral foraminotomies of the S1 nerve roots, [...]

Case Presentation: The patient was a 28-year-old male with past medical history significant for polysubstance abuse including alcohol and opiates, as well as chronic DVTs on coumadin, who originally presented to the hospital for recurrent pancreatitis. Two weeks into his admission, he abruptly became hypotensive (MAP < 65mmHg), tachycardic, and hypoxemic (SpO2 < 88% on [...]