Case Presentation: AS is a 39-year-old female with a history of menorrhagia and iron deficiency anemia presenting with stomach cramps. She had a couple of days of nausea, non-bilious, emesis and stomach cramps not associated with menstrual cycles. AS was not experiencing dry mouth, dysphagia or decreased tear production. There was no family history of [...]

Case Presentation: An otherwise healthy 69-year-old woman was admitted to the hospital with a 3-month history of progressive dyspnea on exertion and anasarca following out-patient transthoracic echocardiography (TTE) demonstrating a large pericardial effusion and early signs of cardiac tamponade based on exaggerated mitral inflow velocity with respiration. Physical exam revealed jugular venous distension and a [...]

Case Presentation: A 30 year old Hispanic female with no past medical history presented with a one week history of progressive dyspnea and lower extremity edema. Her dyspnea was present at rest, and she also reported orthopnea and nocturnal cough. She denied any associated chest pain, nausea, or diaphoresis. Upon presentation, vital signs were stable [...]

Case Presentation: A 37 -year-old female with a past medical history of obesity status post bariatric surgery and hypothyroidism presented to ED for evaluation of progressive generalized weakness. The patient had a recent couple of hospital admission for recurrent rhabdomyolysis. During the hospitalization, she was found to have elevated creatine kinase (CK) level, hypokalemia, and [...]

Case Presentation: A 45-year-old woman presented to our hospital for evaluation of chronic kidney disease. Three years earlier, she had been diagnosed at an outside institution with Sjögren’s syndrome after developing sicca symptoms with positive anti-Ro/SSA, antinuclear antibody, and rheumatoid factor titers. Progressive renal insufficiency was noted soon after, but she was lost to follow-up [...]

Case Presentation: A 21-year-old female with prior history of aseptic meningitis presented to the emergency department with progressively worsening headaches and drowsiness for 4 days. On physical examination, she was oriented only to herself but otherwise had no focal neurological deficits or nuchal rigidity. Kernig and Brudzinski sign were negative. Labs were unremarkable, except for mildly [...]

Case Presentation: Demanding prompt evaluation, carotid-cavernous sinus fistula (CCF) is a rare etiology of the “red eye.” Despite the risk for vision loss, this diagnosis can be missed due to its subtle and nonspecific presentation. We present the case of progressively worsening conjunctivitis and exophthalmos in an elderly woman following a fall who was found [...]