Background: Hypertension is a significant risk factor for cardiovascular disease. According to the Centers for Disease Control and Prevention (CDC) half of all United States citizens with hypertension (HTN) do not have their blood pressure under control. As such, HTN remains a large public health challenge, especially in patients with other comorbidities such as diabetes [...]

Background: The tumor microenvironment and its interaction with the tumor are indicative of disease progression but has not been clinically applied due to the lack of objective assessment criteria. Proximity associated effects of the tumor to its microenvironment which can explain the long-term behavior of tumor remains to be developed. In this work, we utilized [...]

Case Presentation: A 60-year-old female with a history of hypertension, mild hypercalcemia, ESRD on hemodialysis, and pulmonary fibrosis status-post right lung transplant 6 years prior presented with acute on chronic diffuse abdominal pain, nausea, and diarrhea for 7 months.  She had no recent hospitalizations, antibiotic use, or sick contacts. She was seen multiple times in [...]

Case Presentation: A 55-year-old obese female presented with daily high fevers, chills, night sweats, malaise, decreased appetite, and nausea for two weeks. Her past medical history is significant for laparoscopic adjustable gastric band (LAGB) surgery eight (8) years prior. On presentation, she was febrile, tachycardic with pallor and hypotensive. Cardiopulmonary and abdominal examination was normal, [...]

Case Presentation: A 53-year-old male with a complex medical history including hypertension, diabetes, peripheral vascular disease, abdominal aortic aneurysm, and non-small cell lung cancer presented with persistent headaches, dizziness, and an unsteady gait. Initial CT scan revealed a left cerebellar mass with fourth ventricle effacement, prompting transfer to our intensive care unit for urgent neurosurgical [...]

Case Presentation: introduction:Pseudohypotension, a phenomenon where blood pressure readings falsely suggest hypotension, poses a significant diagnostic challenge, especially when associated with subclavian artery stenosis. The condition can lead to misleading interpretations of a patient’s hemodynamic status, impacting clinical decision-making and therapeutic interventions. In this presentation, we explore a case of pseudohypotension due to subclavian artery [...]

Case Presentation: A 19-year-old male with a past medical history of malaria and recent immigration to the U.S. from Somalia presented with a witnessed episode of tonic-clonic seizure. He had no history of seizure disorder, recent trauma, new medications, alcohol use, fevers or chills. He was afebrile with stable vital signs. Physical exam including neurological [...]

Case Presentation: A-28-year-old male with history of asthma and bipolar disorder presented to our hospital with a 10-day old, painful rash on bilateral lower extremities. History was significant for flea bites that occurred a day before the rash started. The rash started off as 3/10 petichae on both legs, but over 2 days it rapidly [...]

Case Presentation: A 39 year old female presented on day 10, status post (s/p) laparoscopic gastric sleeve, with nausea, vomiting, abdominal pain and loose mucoid stools intermittently since surgery. She had history of rheumatoid arthritis, morbid obesity, with provoked lower extremity deep venous thrombosis (DVT) and pulmonary embolism (PE) who had previous IVC filter and [...]

Case Presentation: 39-year-old African American male presented with dyspnea and hematuria for one week. His past medical history includes stage 3 CKD and hypertension. In the emergency room he was found to be severely hypertensive with systolic blood pressures hovering around 240 mmHg. Initial laboratory tests revealed significantly elevated creatinine level from baseline and new-onset [...]