Background: Coronary artery calcification (CAC) is a strong predictor of cardiovascular events. We aimed to evaluate the prognostic significance of CAC detected by chest CT scan (CT) in heart failure (HF) with preserved ejection fraction (HFpEF) patients (pts) in the absence of coronary artery disease history (CAD Hx). Methods: In this retrospective cohort, we queried [...]

Case Presentation: Introduction:Odynophagia can occur from a variety of conditions, most commonly from pharyngitis or esophagitis. Retropharyngeal or deep neck space infections need to be considered when odynophagia is accompanied with decreased ability to move the neck, fevers, and/or elevated white blood cell counts. Here, we present a case of an uncommon condition mimicking a [...]

Case Presentation: A 60 year-old man with a past medical history of end-stage renal disease (ESRD) on hemodialysis (HD) was admitted after a becoming hypotensive during dialysis. The patient denied any fevers or chills, but endorsed progressive malaise and increased pain on the tip of his penis. Physical exam was significant for a blood pressure [...]

Case Presentation: 59 year old African American male with a history of sarcoidosis on prednisone, pulmonary HTN, CKD 3, NIDDM, and NICM presented to the ED with a 2 week history of leg swelling/pain. He was febrile on presentation. He was prescribed cephalexin for cellulitis and discharged. He returned 2 days later with worsening lower [...]

Case Presentation: A 47-year-old female with ESRD, chronic hypotension, anemia of chronic disease, depression and anxiety presented with painful chronic non-healing bilateral lower extremity wounds. Her wounds started about 3 months prior as superficial hyperpigmented painful areas which had gradually become indurated and subsequently ulcerated. Her wounds were extremely painful, limiting her ability to move [...]

Case Presentation: A 55-year-old woman presented with 7 days of progressively worsening posterior neck pain, a low grade fever, odynophagia and hoarseness of her voice. Her past medical history includes diabetes mellitus, hypertension and osteoarthritis. A day after onset of the pain, she went to her primary care physician’s office for evaluation. A throat culture [...]

Case Presentation: A 81 year old Asian woman with past medical history of diabetes, hypertension, coronary artery disease, and arthritis presented with fever and five days of worsening neck stiffness and pain, worsened by neck movement. Laboratory examination revealed mild leukocytosis, CRP 28 and ESR 114. Broad spectrum antibiotics were started for possible meningitis. Lumbar [...]

Case Presentation: A 54-year-old male with hereditary spherocytosis, status-post splenectomy presented to the emergency room complaining of acute onset neck pain for 2 days. This was localized on the left side of his neck and associated with odynophagia. The patient endorsed mild headache but no photophobia or fever. His vital signs were stable with a [...]

Case Presentation: A 77-year-old male with a past medical history of Parkinson’s disease, neurogenic bladder, and 2 episodes of partial colonic obstruction in the last 6 months presented with abdominal pain. Abdominal pain was intermittent, mild to moderate intensity, localized in the left lower quadrant, and his last bowel movement was 6 days ago. The [...]

Case Presentation: A 26-year-old male with no significant past medical history was intubated due to respiratory failure from cocaine and fentanyl overdose. Admission labs showed severe rhabdomyolysis (creatinine kinase> 22K U/L), hyperphosphatemia (>20mg/dL) and hyperkalemia (>10mmol/L) with creatinine 2.9mg/dL. ICU course was complicated by hypoalbuminemia, chronic hypocalcemia (corrected calcium-7.6-8.4 mmol/L) and chronic hyperphosphatemia (5.6-10mg/dL). He [...]