Background: The possibility of outpatient evaluation of suspected transient ischemic attack has previously been considered in studies, and some have suggested that outpatient evaluation of suspected TIA may be safe and cost-effective in patients at lower risk of stroke as measured by the ABCD2 score. However, no consensus has been reached on the optimal strategy [...]

Case Presentation: A 35 year-old female with a past medical history significant for type 2 diabetes mellitus, polycystic ovarian syndrome and migraine headache presented with alteration of mental status for 2 weeks. Patient endorsed progressive, generalized fatigue with intermittent episodes of confusion, behavioral disturbance, hypersomnia and short-term memory loss. Vital signs on admission were significant [...]

Case Presentation: A 71-year-old man with a history of coronary artery disease (CAD) and percutaneous coronary intervention (PCI) presented to our hospital with unstable angina. He was urgently taken for coronary angiography (CAG) using a trans-radial approach, which revealed three-vessel CAD and severe in-stent restenosis of the left anterior descending artery. Balloon angioplasty was performed [...]

Case Presentation: A 77-year-old female with atrial fibrillation (AF) on flecainide, sinus node dysfunction (SND), and permanent pacemaker presents with frequent palpitations. EKG showed regular, wide-complex tachycardia with ventricular rate of 137 BPM. Device interrogation revealed atrial flutter with 1:1 AV conduction (AL11AV). Rhythm terminated with overdrive atrial pacing along with resolution of symptoms. Troponins [...]

Case Presentation: A 71-year-old male with a PMH of HTN, HLD, tongue cancer, GERD, CAD, and BPH presented to the hospital with a chief complaint of right-side shoulder pain, erythema, and warmth that started two days prior. Two days before noticing these symptoms, he had undergone an EGD without complications where he had a peripheral [...]

Case Presentation: A 61-year-old female with past medical history of hypertension and migraine was brought disoriented to the emergency room. According to her husband, patient seemed to be forgetful after sexual intercourse on the same morning. She could not remember her medicines and was asking about their dog who passed away months ago. She denied [...]