Case Presentation: Our patient is a 65 year old male with history of end stage renal disease on hemodialysis, peripheral arterial disease complicated by bilateral below knee amputations, and type 2 diabetes mellitus admitted with limited flow on his right AV fistula. An IR fistulagram revealed moderate stenosis of the basilic vein outflow, and mild [...]

Case Presentation: A 63-year-old male with end-stage renal disease, on hemodialysis via left arteriovenous fistula for over 10 years, presented with progressively worsening left fifth-digit infection and severe hand pain over the last month. Additional history includes peripheral vascular disease resulting in bilateral above-the-knee amputations and recent right fourth-digit amputation. He was seen outpatient by [...]

Case Presentation: A 63-year-old man with history of recurrent syncope and atrial fibrillation (AF) on warfarin presented to our hospital with headache. Within the last year, he had suffered several falls due to syncope, which resulted in serious injuries, including jaw fracture and subdural hematomas (SDH). He used alcohol and marijuana daily. Previous workup for [...]

Case Presentation: A 37-year-old man with type 2 diabetes mellitus presented with an episode of bifrontal and retro-orbital headache, left-sided upper extremity and facial numbness, generalized weakness, and dysarthria. The patient reported similar symptoms one week prior to presentation that lasted 12 hours, and which were accompanied by syncope. Over the past month, the patient [...]

Case Presentation: A 57-year-old female with end-stage renal disease (ESRD) on hemodialysis and a history of calciphylaxis presented with a non-healing wound on her right hand. Two months prior, she developed a wound on the dorsal surface of her right fourth finger without antecedent trauma. The lesion became painful and discolored, resistant to multiple courses [...]

Case Presentation: A 70 year old Caucasian male with coronary artery disease status post 3 vessel coronary artery bypass graft (CABG) (including a left internal mammary artery (LIMA) graft to left anterior descending (LAD) coronary artery), porcelain aorta, hypertension, heart failure with recovered ejection fraction, peripheral artery disease, and obstructive sleep apnea presented to a [...]

Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest [...]