A 18 year-old African American male, smoker with no significant past medical history, presented to the Emergency Room (ER) complaining of unilateral neck pain, he was sent home on pain killers and muscle relaxant. The following two months his pain did not get better, he developed sore throat and was seen by his PMD who found a neck lymph node enlargement and prescribed him antibiotics. On his s...

that had started following an argument. She did not have cardiologic symptoms, except for an ECG with negative T-waves in the lateral aspect and troponin T concentration of 0.06 in the laboratory workup (peak, 0.23). An emergency echocardiogram showed apical akinesia with preserved ejection fraction (Figure). Urgent coronary angiography performed 2 hours later showed a mild lesion in the right ...

BACKGROUND In female adolescents and young adults, malignancies of the genital tract are the most frequent type of cancer, closely followed by Hodgkin's and non-Hodgkin's lymphomas. CASE PRESENTATION We report an unusual case of sporadic Burkitt's lymphoma (BL) presenting with massive bilateral ovarian infiltration, peritoneal carcinomatosis and diffuse nodular lesions of the stomach and the ...

A 55 year old female presented with fever, skin rash and subconjunctival hemorrhage. She also developed hepatitis. Fever and skin rash lasted for more than three weeks. This patient was diagnosed to have rubella, highlighting the fact that rubella can present with atypical features like prolonged fever and rash, subconjunctival hemorrhage and hepatitis, especially in adults.

Carcinoid tumor is a slow-growing type of neuroendocrine tumor, originating in the enterochromaffin cells and secreting mainly serotonin. Neuroendocrine tumors (NETs) are found throughout the intestinal tract, the appendix and terminal ileum being the most common locations, and are classified by site of origin and by degree of differentiation, with well-differentiated lesions representing those...

Fifty-five year old lady presented with complaints of recurrent palpitations for last 5 years. She had already undergone 3 previous attempts at ablation at another institution; the details of the procedures were not available. Previous cardiac disease or cardiac surgery was absent. Presenting ECG was consistent with counterclock wise (CCW) atrial flutter (Negative flutter waves in II, III, aVF ...