Case Presentation: We present the case of a 32-year-old woman with past medical history of anxiety/depression, previous heroin abuse, hepatitis C who presented with tremors, chest pain, and vomiting. In the ER, her vitals were HR 94, RR 22, BP 117/83, SpO2 95% on room air. Initial labs showed elevated troponin 1.38, 4.44, 9.15. EKG [...]

Case Presentation: A 78 year old female with Type 2 diabetes, HTN, vitiligo, sacral decubitus ulcers, CHF, and atrial fibrillation presented with fevers and two weeks of malaise, dizziness, progressive somnolence, and altered mental status. Per her husband, she also had some episodes of sweating but had not complained of any headaches or palpitations. At [...]

Case Presentation: A 61 year old female with history of metastatic breast carcinoma presented to the hospital for an elective vertebral cryoablation and kyphoplasty to treat her painful bony metastasis. She has known vertebral lytic lesions in addition to a suspected right adrenal involvement. On the first day, cryoablation was performed uneventfully under general anesthesia. [...]

Case Presentation: We present a case of a 59 year old man with a history of HTN, T2DM (a1c 8.3%) and splenectomy in 1981 who presented with two weeks of progressive constipation, episodic flushing, sweating, palpitations and severe lightheadedness, no longer able to stand.On admission he was tachycardic to 140 and hypertensive to 200/120. CT [...]

Case Presentation: A 25-year-old man with ADHD and anxiety presented to the emergency department with four days of acute headache. CT scan of the head revealed an acute left frontal intraparenchymal hemorrhage. Neurosurgery resected a left frontal arteriovenous malformation that had ruptured due to hypertension. Over the next year, he presented to the ED and [...]

Case Presentation: We report a case of a 29 yo female whose initial clinical manifestation of pheochromocytoma/MEN was suspected due to an incidental discovery of bilateral adrenal lesions revealed by abdominal CT instead of a positive family history with relevant symptoms. Despite repeatedly presenting to the emergency department for episodic anxiety accompanied by hypertension, the [...]

Case Presentation: A 62-year-old male with a history of type 2 diabetes mellitus, incidental left adrenal adenoma (3 cm), and resistant hypertension presented to the hospital with diffuse weakness, refractory hypokalemia, and hyperglycemia. Evaluation of his adrenal adenoma about a year prior had shown low serum aldosterone levels (in the setting of lisinopril use) and [...]

Case Presentation: This is a 72-year-old female patient who presents to the ED for the evaluation of loss of consciousness. The patient’s family also endorsed dark stools for the past few days. She has a medical history significant for Insulin Dependent Diabetes Mellitus, and papillary thyroid cancer. On arrival, the Patient’s BP was 126/55, Heart [...]

Case Presentation: We report the case of a 43-year-old man who presents to our institution with recurrent episodes of dizziness, headaches and syncope. He had a history of uncontrolled hypertension that was diagnosed as a teenager. His admitting blood pressure was 174/103 mmHg and he had a heart rate of 108. On physical exam, he [...]

Case Presentation: 42 year old male presented to the hospital with non-exertional left-sided chest pain that was radiating to his left jaw. His past medical history was significant for gastro-esophageal reflux disease and generalized anxiety disorder. He had a one year history of palpitations, headache, and sweating associated with minimal blood pressure fluctuations. These episodes [...]