Case Presentation: A 70-year-old gentleman with no known medical issues was brought in to the emergency department after experiencing sudden onset unresponsiveness and respiratory arrest. He had been intubated by paramedics on arrival. Upon transfer to the emergency department, he was found to have unstable atrial fibrillation with rapid ventricular response necessitating cardioversion. Initial labs [...]

Case Presentation: Our patient was a 71 year-old male admitted for acute respiratory failure secondary to aspiration pneumonia in the setting of advanced Parkinson’s disease (PD) requiring endotracheal intubation. After multiple failed attempts to extubate in light of supraglottic edema, the patient underwent a tracheostomy in the operating room (OR) with propofol, lidocaine, fentanyl and [...]

Case Presentation: A 71 year-old man with no medical history presented in October with fevers, headache, neck stiffness, photophobia, and confusion for 3 days. Per family, patient was fully functional with no memory deficits at baseline. He never traveled outside of New York tri-state area and has had no sick contacts or insect bites. Initial [...]

Case Presentation: A 57-year-old Hispanic male presented with an episode of syncope while at his workplace. He is a Pest Control Technician and had a 7-year history of exposure to organophosphates. He had a history of frequent falls over past six months and had no exposure to other toxic substances, alcohol or drugs. Physical exam [...]

Case Presentation: A 40 year-old man presented to the hospital with a six-hour history of worsening palpitations accompanied by diaphoresis and non-radiating, retrosternal chest pain. He had been diagnosed with pre-excitation on ECG three years prior and reported a longtime history of recurrent palpitations. At the time of his diagnosis he declined any further studies. [...]

Case Presentation: 77-year-old Caucasian male with history of Stage IV mantle cell lymphoma, multiple myeloma, atrial fibrillation, presented to the emergency department with 5-day history of progressively worsening ataxia & generalized weakness. He reported a black legged deer tick bite 10 days prior and was on doxycycline for this. He reported tremors in his bilateral [...]

Case Presentation: A 63-year-old female with history of end-stage renal disease, atrial fibrillation (AFib), cirrhosis, and Parkinson’s disease was admitted to the hospital after an unwitnessed fall with persistent encephalopathy and altered mental status. Upon admission the patient was found to have wide QRS complexes with an Atrial fibrillation, clinical findings of heart failure, and [...]