Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a [...]

Case Presentation: Patient is a 60-year-old male with past medical history of Ledin’s factor V deficiency who presented to the ER with complaints of fever, chills, and weakness. His symptoms started with a headache, cyclical fevers, and violent rigors lasting several minutes. With the onset of rigors, patient progressed to develop ascending weakness. In the [...]

Case Presentation: A 49-year old man presented to the emergency department (ED) with dizziness and lethargy. He had a history of hypertension, anemia, and pilomatrix carcinoma (PC), a rare cutaneous malignancy. This was diagnosed one year prior and treated with wide excision with negative margins. He was lost to follow up for 7 months prior [...]

Case Presentation: An otherwise healthy 36 year-old presented to the emergency room with increasing pain and swelling of her left upper extremity, progressively worsening over the last week. Physical examination showed significantly enlarged left upper extremity with tenderness and erythema. Further evaluation showed presence of left subclavian, internal jugular vein DVT. A CT-angiogram performed for [...]