Background: Subclinical hypothyroidism (SCH) is underdiagnosed in patients with heart disease, however, there has been controversy surrounding whether it is a cardiovascular risk factor or not. To determine the prognostic significance of SCH in Heart Failure (HF) with Preserved Ejection Fraction (HFpEF) we followed a cohort of patients for 9 years. Methods: In this retrospective [...]

Background: Over 5 million people in the United States are diagnosed with heart failure (HF) and many continue to be hospitalized for exacerbations of this disease. An estimated 20 million Americans have been diagnosed with some form of thyroid disease. Thyroid hormones significantly impact cardiac muscle functions and elevated levels of thyroxine (T4), as seen [...]

Background: As of March 30, 2022, the Food and Drug Administration now recommends follow up thyroid function testing (TFT) for children less than 4 years of age who have received IV iodinated contrast for imaging or procedures within 3 weeks of receiving contrast dye due to recent studies reporting subsequent thyroid dysfunction and the potential [...]

Background: Hyperthyroidism is a recognized risk factor for atrial fibrillation(AFib). Consequently, current recommendations include screening patients with new onset AFib for thyroid dysfunction by analyzing TSH, T3, and T4 levels. However, the yield of routine testing of patients hospitalized with Afib is less certain. In this study, we evaluated the testing and prevalence of thyroid [...]

Case Presentation: A 66-year-old female with a history of stage IV non-small cell lung cancer (NSCLC) (90% PD-L1 +) on pembrolizumab (status post cycle 9) with metastasis to the left adrenal gland presented with a two-week history of malaise, nausea, and vomiting. Vital signs were stable and physical exam was euvolemic, with mild epigastric tenderness. [...]

Case Presentation: The patient was a 27 year old male who presented to the ED in July 2016 with persistent left sided chest pain and a lump over his sternum of several weeks in duration. Pain was exacerbated by touch and exertion. Other symptoms included occasional episodes of scant hemoptysis. Patient denied SOB, fevers, chills, [...]

Case Presentation: We report a 22 year-old male with no past medical history presented to the emergency department with acute onset of weakness, most pronounced in the lower extremities. The patient was last reported to be in his normal state of health the night prior to presentation in which he consumed approximately six beers. Upon [...]

Case Presentation: A 61 year-old woman presented with unbearable weakness and muscle aches that progressed over the past two weeks. The patient was seen in clinic the day prior for these symptoms and overall lethargy to the point of inability to stand or walk. On examination, she had generalized weakness, dry skin, a flat affect, [...]

Case Presentation:  A 64 year old woman with a history of diabetes and hypertension presented to hospital with lethargy and disorientation to time, place and person. The vitals were: BP 232/127 mm Hg T 102.7°F PR 120 bpm RR 22. One week prior, she was diagnosed with a left otitis externa and received treatment with [...]

Case Presentation: A 28 year old male presented to clinic with a painless, progressively enlarging mass in his right testis for 4-6 weeks.  On examination a large, firm, right scrotal swelling was present. Testicular ultrasound revealed a heterogeneous 6.2 x 4.1 x 6.5 cm solid mass in the right testes. Labs were notable for a [...]