Background: Implantable cardiac monitors (ICM) have continued to gain acceptance since its introduction into clinical practice to help physician accurately detect cardiac causes of syncope that may need further intervention. Their cost-effectiveness in the evaluation of syncope has continued to receive positive reviews as recent guidelines have encouraged early use of this device.However, the question [...]

Case Presentation: A healthy 50 year-old high school teacher with a past surgical history significant for elective bilateral breast augmentation presented to clinic for a 2-month history of dry cough unresponsive to steroids. She reported a constellation of symptoms including worsening non-exertional dyspnea, low grade fevers, night sweats, unintentional 30lb weight loss, fatigue, dry skin, and [...]

Case Presentation: Acquired thrombotic thrombocytopenic purpura (TTP) is a rare antibody-mediated thrombotic microangiopathy that requires prompt identification and treatment. We present the case of a 32-year-old female with a history of systemic lupus erythematosus, asthma, augmentation mastopexy (11 years prior), and an antecedent episode of TTP following silicone breast implant placement who presented with back [...]