A 37-year-old male presented with a 2-month-old skin lesion over his chest, which had been increasing in size. He also complained of fatigue and intermittent low-grade fever for the past 3 weeks. He exhibited no other constitutional or systemic symptoms but had pallor and palpable cervical and axillary lymph nodes. His vitals and systemic examination results were normal. He had a hard, non-tend...

A 60-year-old Hispanic male with a history of smoking presented to the emergency department with complaint of dysphagia for the past two months. Additional symptoms included progressive shortness of breath and stridor. CT results from an outside institution showed 80% airway obstruction. Despite the findings, the patient’s vitals were normal, with respirations of 20 and an initial room air oxyg...

Objective: To report a case of serotonin syndrome, with episodic worsening course, which responded to treatment with cyproheptadine. Case Report: A 56 year old male, was diagnosed as a case of bipolar affective disorder, hypertension and generalized seizure disorder. While receiving a combination of lithium carbonate 750 mg/d, amlodipine 10 mg/d, phenytoin 300mg/d, sertraline 100 mg/d, trazodon...

A 36-year-old woman with a history of dextrocardia presented to the clinic for evaluation of several months of exertional dyspnea. She denied any cough, wheezing, fever, chills or rigors, as well as any orthopnea, leg edema or hemoptysis. Past medical history was significant for tachycardia, orthostatic hypotension, dextrocardia diagnosed 15 years ago, hyperlipidemia and chronic headaches. She ...

INTRODUCTION This report calls attention to small bowel necrosis resulting as a complication of formation of an obstructive loop of small bowel around a band of Meckel's diverticulum. CASE PRESENTATION We report a case of an adult in his 5th decade presenting with sharp, colicky abdominal pain. On presentation his vitals were within normal limits, abdomen was non-distended but tender and rigi...

A 31-year-old female presented with acute onset shortness of breath and chest pain. She had a past medical history of cocaine abuse and agreed that she used cocaine 2 days prior to presentation. On admission, her vitals included Blood Pressure of 160/70, Heart Rate—110, Respiratory Rate—36 with oxygen saturation of 78%. Chest X-ray showed some interstitial opacities. CT scan of the chest was pe...

A 14-year-old boy presented with inability to move his eyes to the right since one day. There was no history of fever, headache, vomiting or impairment of vision. Vitals were stable while neurological examination revealed right horizontal gaze palsy with contralateral deviation of eyes (Fig. 1a). There was no diplopia, while nystagmus and Doll’s eye movement were absent. Pupillary reflex and fu...

A 60 years old chinese male scheduled for a removal of an intracardiac mass occupying majority of right ventricular space, right ventricular outflow tract and pulmonary artery. The giant cardiac mass was later diagnosed pathologically as metastatic liposarcoma. The patient had a history of surgical removal of myxoid liposarcoma from his left thigh many years ago. It is extremely rare for liposa...

Objective: The aim of study is to evaluate the preoperative sedative effects of intranasal dexmedetomidine as compared to oral midazolam as preanesthetic medication in children undergoing cardiac catheterization for diagnostic and/or therapeutic procedure. Design: Prospective, randomized, double-blind, controlled study. Method: 61 patients of either sex between the ages 2-10 years were recruite...

Real-time prediction of clinical interventions remains a challenge within intensive care units (ICUs). This task is complicated by data sources that are sparse, noisy, heterogeneous and outcomes that are imbalanced. In this work, we integrate data across many ICU sources — vitals, labs, notes, demographics — and focus on learning rich representations of this data to predict onset and weaning of...