Background: Olfactory neuroblastoma (ONB), first described in 1924 by Berger et al., is a rare neoplasm that represents nearly 3% of malignant sinonasal neoplasms. It arises from the olfactory epithelium and tends to invaders local structures and metastasizes to various body organs. Given its diverse ad controversial management strategies, this review investigates the clinical and [...]

Case Presentation: A 67 year old female with no past medical history presented to our emergency department for new onset shortness of breath, chest pain, and palpitations for 90 minutes. Of note, she reported 8 pound weight gain, generalized fatigue, and abdominal distension for several months prior to presentation. Physical exam revealed a heart rate [...]

Case Presentation: A 62-year-old female with a past medical history of depression, obesity status postbariatric surgery, non-cardiac syncope and recurrent sinusitis presented to her primary care physicianfor further workup of her syncope. During this visit she was also complaining of continued left frontaland maxillary sinus pain for the past four weeks. She had recently completed [...]

Case Presentation: A 64-year-old male with past medical history of coronary artery disease, hypertension and weight loss of 20 pounds within 4 months presented to the hospital after he had a seizure-like activity of his upper body lasting around 10 minutes accompanied by altered mentation. Upon arrival to the emergency department, his symptoms had resolved. [...]

Case Presentation: A 73-year-old man with hypertension, atrial fibrillation, coronary artery disease, heart failure, end stage renal disease on hemodialysis, and hypothyroidism presented with 3 weeks of nausea, vomiting, and inability to tolerate food. He had no fevers, abdominal pain, or diarrhea; symptoms did not improve with dialysis. Vitals were normal, abdominal exam was unremarkable, [...]

Case Presentation: Insulinoma is a rare tumor that originates in the beta cells of the pancreas with an incidence of 1-4 cases/million persons/year. Less than 10% of insulinomas are malignant and represent a treatment challenge despite the development of new therapeutic approaches in the last decade. A 28 year old female with no past medical [...]

Case Presentation: We present a 59-year-old female with a past medical history of uterine fibroids and osteoarthritis who initially presented to the emergency department with a stroke alert for 10 days of slurred speech and facial droop. The patient was traveling with her husband in San Diego 2 weeks prior. Upon her return, she noticed [...]

Case Presentation: This is a 72-year-old female patient who presents to the ED for the evaluation of loss of consciousness. The patient’s family also endorsed dark stools for the past few days. She has a medical history significant for Insulin Dependent Diabetes Mellitus, and papillary thyroid cancer. On arrival, the Patient’s BP was 126/55, Heart [...]

Case Presentation: A 73-year-old woman with past medical history of hypertension was discovered unresponsive at home, prompting initiation of CPR during transportation to the Emergency Department, resulting in the restoration of spontaneous circulation (ROSC). A chest x-ray indicated the presence of left-sided tension pneumothorax, necessitating the placement of a chest tube. Initial electrocardiogram (EKG) findings [...]

Case Presentation: A 68-year-old male with 6-months history of dark stools, lightheadedness, and fatigue. He was not on blood thinners. He had three ED visits, two hospitalizations and several office visits and received seven units of packed red blood cells (PRBC) during that time for iron deficiency anemia. Extensive workup with upper GI endoscopy (EGD) [...]