Case Presentation: A 66 year-old Caucasian male presented to the emergency department with intermittent fevers, chills, fatigue and dyspnea of 1 week duration. He denied any nausea, vomiting, abdominal pain, changes in bowel habit or significant trauma. He lived in a wooded area and had 3 previous Lyme infections but denied any recent tick bite, [...]

Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, [...]

Case Presentation: A 68-year-old woman with a history of hypertension and possible interstitial lung disease presented with one week of worsening midsternal chest pain, diaphoresis and nausea. Initial vitals were unremarkable. Exam revealed bibasilar crackles but no murmur, gallop, elevated jugular venous pressure or abdominal tenderness. An electrocardiogram showed no acute ischemic changes. Initial troponin [...]

Case Presentation: We describe an interesting case of a 59-year-old female patient who arrived unresponsive to ED, with symptoms concerning for acute coronary syndrome(ACS). There was no informant present along with the patient, so very limited information was available about patient’s past medical history or risk factors. EMS personnel who accompanied the patient reported that [...]

Case Presentation: A 75-year-old male with atrial fibrillation on apixaban and eradicated HCV presented to the Emergency Department one day after a syncopal episode with right upper quadrant abdominal pain. On initial presentation, he was hemodynamically unstable with hypotension and atrial fibrillation with rapid ventricular response. His vital signs normalized after 2 liters of intravenous [...]

Case Presentation: An 86-year-old man with a history of atrial fibrillation on apixaban and aspirin for coronary artery disease presented with orthostatic syncope leading to a fall. Patient had complained of left upper quadrant abdominal pain the night prior to the fall. Patient denied trauma prior to the onset of abdominal pain, recent sore throat, [...]

Case Presentation: We describe a case of new-onset unknown ascites due to atraumatic bladder rupture. A 56 year-old female with past medical history of functional urinary retention (prolonged urine holding due to phobia of public restrooms) and remote surgical history of TAH/BSO and C-section presented with recurrent ascites of unknown etiology. She initially presented to [...]

Case Presentation: An 80 year old female presented with severe interscapular back pain of abrupt onset with radiation to the epigastrium. There was no preceding trauma. 43 days prior to current presentation, she was hospitalized for acute pulmonary embolism and was discharged home on apixaban. Other past medical history included hypertension, hyperlipidemia and coronary artery [...]

Case Presentation: A 56 year-old male with past medical history of chronic pancreatitis, alcoholic cirrhosis, cured hepatitis C, iron deficiency anemia and gastric arterio-venous malformations (AVM) status post cauterization presented for screening colonoscopy and esophagogastroduodenoscopy (EGD). EGD showed several nonbleeding gastric AVM status post Argon Plasma Coagulation. The colonoscopy was unremarkable without any reported difficulty [...]

Case Presentation: A 87 year old female with history of Left ventricular non-compaction(LVNC), HFrEF with EF25-30%, CAD, hypertension, hyperlipidemia presented with acute dyspnea. She denied chest pain, palpitation, lightheadedness. Exam revealed tachycardia, tachypnea and hypoxia, saturating 70% on RA, but no signs of volume overload with baseline chronic lower extremity edema. Her laboratory data showed [...]