Background: Patent Foramen Ovale (PFO) is a common abnormality that affects between 25% and 34% of the general population. For most people, it is a benign finding; however, in some, the PFO can be wider, allowing a paradoxical embolus to transit from the venous to the arterial circulation, which is associated with cryptogenic stroke, migraine, [...]

Case Presentation: A 76- year old smoker woman with a medical history of emphysema and left MCA stroke six months back, presented with acute bilateral occipital headache and visual impairment.On Exam, she was well appearing, normal vital signs, and no murmurs on heart exam. Neurological exam was normal except for dysmetria due to visual impairment [...]

Case Presentation: A 17 year old female was diagnosed with a pulmonary embolus 3 months ago. A partially occlusive thrombus was also noted in her left common iliac vein. She was diagnosed with May-Thurner syndrome (MTS), and treatment was started with therapeutic doses of Lovenox. She missed only five doses of Lovenox during the ensuing [...]

Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was [...]

Case Presentation: A 51-year-old female with no significant medical history presented to the hospital after a ground-level fall with severe thoracic back pain, paresthesia, paresis of both lower extremities and urinary incontinence. Exam revealed thoracic spine tenderness, bilateral diminished sensation up to two inches above the umbilicus and 1/5 bilateral lower extremity strength. Spinal MRI [...]

Case Presentation: A 50 year-old female with a past medical history of migraines on triptan therapy presented to an outside ED with a 1 day history of chest pain and was transported emergently to a tertiary hospital for suspected STEMI. She had a troponin of < 0.012 with inferior ST elevations on ECG. STEMI was [...]

Case Presentation: A 51-year-old female with pseudomyxoma peritonei was admitted to the hospital for surgical debulking. She was started on Lovenox post-operatively. A week later she became hypotensive with acute hypoxic respiratory failure. She was intubated and started on vasopressor therapy with an improvement in her hemodynamics. CT angiogram of the chest depicted a pulmonary [...]