Background: Asthma is one of the most common chronic medical conditions affecting around 300 million people worldwide. It is a disorder of the airways characterized by recurrent symptoms of airway obstruction and inflammation. Invasive mechanical ventilation for patients admitted to the hospital with asthma is challenging with higher complications and higher rates of patient-ventilator asynchrony, [...]

Case Presentation: A 38-year-old female presented to the emergency department with sudden-onset sharp right-sided chest pain and shortness of breath, associated with exertion at work. Notable medical history included recurrent episodes of brief dyspnea starting one day before her menstrual period and subsiding 1-2 days later. At the time of admission, the patient was on [...]

Case Presentation: We report a case of a 49-year-old Caucasian male presenting with sudden chest pain worsened by inspiration. Patient reports Birt-Hogg-Dubé Syndrome (BHDS) diagnosis via skin biopsy 5 years ago. Examination is significant for 2-4 mm flesh-colored, dome-shaped papules on the head and neck. No murmurs, chest wall tenderness, wheezing or rhonchi were appreciated. [...]

Case Presentation: A 70-year-old male with history of coronary artery disease, paroxysmal atrial flutter, hypertension, prostate cancer presented to the ED due to purulent discharge from his penis and was found incidentally to have COVID-19 on nasal swab. He was started on vancomycin, cefepime, and fluconazole for complicated penile cellulitis. For COVID-19 he was started [...]

Case Presentation: A 35 year old female with asthma, endometriosis and three prior right sided pneumothoraces presented to the emergency department with dyspnea and chest pain without recent trauma, and was again admitted with right sided pneumothorax. Her exam was notable for thin, young adult female, non-smoker, with decreased breath sounds on the right. Her [...]

Case Presentation: A 33-year-old nulliparous female with no past medical history presented with 10 months of postmenstrual umbilical pain. She denied vomiting or bowel habit changes, but noted recent orthopnea and nocturnal wheezing. She had regular, monthly menstrual cycles associated with dysmenorrhea since menarche at age 11.  She had not been sexually active for 4 [...]

Case Presentation: A 37-year-old woman with a history of endometriosis, fibroids status post fibroidectomy, and previous spontaneous pneumothorax presented with 3 days of progressively worsening right pleuritic chest pain and dyspnea on exertion. She had a similar presentation nine months prior at an outside hospital and was found to have a spontaneous right pneumothorax requiring [...]

Case Presentation: We present a case of a 42-year-old woman admitted to the ICU for management of suspected septic shock. She presented with right lower quadrant and back pain for the past day, fever, nausea, and vomiting. Her blood pressure was 70/46 mm of Hg and examination was significant for right lower abdominal quadrant tenderness. [...]

Case Presentation: A 20-year-old male with no known medical conditions presented to the emergency department with acute right-sided chest pain and shortness of breath, which began abruptly while he was playing video games at home.  He described the pain as sharp, radiating to the back, 7/10 in severity, and worse with coughing and inspiration. He [...]

Case Presentation: A 68-year-old male presented with cough, SOB, decreased appetite, 30lb weight loss over two months, and generalized weakness. He reported a remote history of alcohol abuse and tobacco use. He was admitted two months prior for cough and SOB to another hospital with findings of a right upper lobe cavitary lung lesion. He [...]