Pneumopericardium is a medical condition in which air is present within the pericardial space.  This condition has been recognized most commonly in preterm neonates. In adults, pneumopericardium may occur spontaneously or in conjunction with hemopericardium or pericardial effusion. Also, it may follow penetrating wounds to the chest or upper abdomen, or wounds or fistulous communications [...]

Case Presentation: We introduce you to a 57-year-old woman with a past medical history of one pack per day of smoking for 20 years, and a premature history of CAD in her father. The patient presented to the emergency department with severe, pleuritic chest pain that began 4 days prior to admission.  The patient described the pain as sudden [...]

Case Presentation: A 65-year-old female with a history significant for persistent atrial fibrillation, on apixaban, aortic and mitral bioprosthetic valve replacement, dual-chamber permanent pacemaker (PPM) implantation for heart block 2 weeks prior presented with worsening shortness of breath, dry cough, and generalized weakness for 4 days. Initially, she was found to be hemodynamically stable. Labs [...]

Case Presentation: A 22 year-old female from Guyana with no past medical history presented with shortness of breath, pleuritic chest pain, and dry cough x 5 months. She was treated for community-acquired pneumonia 6 months earlier, though her symptoms persisted. She had an exercise tolerance limited to one block, subjective fevers, malaise, and unintentional weight [...]

Case Presentation: An 87-year-old man with medical history significant for hypertension, non-ischemic cardiomyopathy, paroxysmal atrial fibrillation (anticoagulated on Rivaroxaban) and ventricular tachycardia (recently started on Amiodarone) presented to the emergency room with chest pain. He reported that the pain started insidiously 2 days prior to presentation, pleuritic, sharp, retrosternal and intermittent, associated with diaphoresis and [...]