Case Presentation: A 43-year-old female presented with a three-week history of shortness of breath and abdominal pain. The patient denied alcohol use and stated that she previously had regular menstrual periods until 14 months ago [...]
Case Presentation: A 87 year old female with history of Left ventricular non-compaction(LVNC), HFrEF with EF25-30%, CAD, hypertension, hyperlipidemia presented with acute dyspnea. She denied chest pain, palpitation, lightheadedness. Exam revealed tachycardia, tachypnea and hypoxia, [...]
Case Presentation: A 64-year-old woman with a history of heart failure (HF) and end stage renal disease on dialysis presented with three days of abdominal pain. She was lethargic, hypothermic to 34.5 C, with jugular [...]
Case Presentation: A 65 year old male with ischemic cardiomyopathy, EF of 25% and NYHA III symptoms despite optimal medical therapy, severe mitral regurgitation (MR) and left bundle branch block (LBBB) with QRS>150ms (figure 1) [...]
Case Presentation: A 49-year-old male presented with progressive lower extremity edema, exertional dyspnea and orthopnea for three weeks. Past medical history significant for non-ischemic cardiomyopathy, systolic heart failure and moderate aortic regurgitation (AR) diagnosed one [...]
Case Presentation: A 36 years old female with past medical history of IV drug abuse, presented with dyspnea, nasal congestion, tactile disturbances, diarrhea, body aches and generalized weakness for 1 day. She was recently treated [...]
Case Presentation: A 66 year old female with a history of RA, diabetes mellitus, and deep vein thrombosis, presented to ED with tachycardia and hypoxic respiratory failure requiring 5 liters of oxygen. Physical exam was notable [...]
Case Presentation: A 37-year-old-male with no significant past medical history who presents to the hospital with 2 months of progressive exertional dyspnea, palpitations and scrotal pain. He has also noticed some leg swelling and has [...]
Case Presentation: A five-year-old boy with autism presented to the hospital with two-months of fatigue, lower extremity pain, and a petechial rash. Review of systems was notable for a two-kilogram weight loss, intermittent gingival bleeding [...]
Background: Hospitalized patients are complex and often receive concurrent treatment for multiple diseases. Patients presenting with shortness of breath and infiltrates on chest x-ray may be treated for pneumonia, congestive heart failure (CHF) or both. [...]
Background: Anemia is common in patients with HF with a prevalence ranging from 10-40%. Studies have shown that these patients have worse outcomes compared to those who don’t. The most common etiology remains iron deficiency [...]
Background: Research on post-discharge outpatient care often focuses on single types of encounters, such as primary care in-person appointments or primary care phone calls. However, patients interact with the healthcare system following discharge using a [...]
Background: Involvement of a cardiologist in the care of hospitalized patients with a primary diagnosis of heart failure (HF) has been shown to improve outcomes and may affect their readmission rates. However, less is known [...]
Case Presentation: A 23 month old female with minimal primary care visits presented to the ED after a syncopal episode. She was found to be tachycardic, tachypneic, and hypoxic. Physical exam revealed an irritable, pale [...]
Case Presentation: A 40 year-old male with no significant past medical history presented with two months of increasing fatigue, anorexia, and progressive exertional dyspnea. Additionally, he reported a mild increase in abdominal girth during the [...]
Background: Heart failure is a deadly epidemic with over 37 million people affected worldwide with a multitude of physical, psychological and financial implications on patients and the healthcare system. The progression of heart failure can [...]
Background: Heart failure (HF) is a major public health concern that affects over 5 million adults in the US. HF is among the most common reasons for hospital admissions and presents a considerable cost burden [...]
Background: Hyperlipidemia is a recognized risk factor for incident acute myocardial infarction (AMI) and acute decompensated heart failure (ADHF), and no such documented association with pneumonia. However, the influence of hyperlipidemia on long-term mortality after [...]
Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence [...]
Case Presentation: A 50-year-old African American male with history of supraventricular tachycardia presented after an episode of chest pain and syncope. He endorsed progressive exertional dyspnea, paroxysmal orthopnea, and worsening abdominal swelling of several weeks [...]
Case Presentation: A 49-year-old man with a history of type 2 diabetes and obstructive sleep apnea presented after suffering a cardiac arrest at a local airport. He was reportedly healthy appearing until suddenly slumping over [...]
Case Presentation: A 29-year-old previously healthy male presented to an outside hospital emergency department with two days of flu-like symptoms including fever, chills, nausea, vomiting, abdominal pain, and recurrent episodes of syncope. On arrival, physical [...]
Case Presentation: A 45-year-old previously healthy male with a known history of polysubstance use (tobacco, ethanol, and cocaine) presented to the emergency department with sudden onset left-sided facial droop, hemiparesis, hemisensory loss, and dysarthria. The [...]
Background: Despite recent advancements in the medical management of acute and chronic Heart Failure (HF), smooth transitions of care for patients hospitalized with HF remain elusive for most health care systems. Use of home health [...]
Background: Diuretic therapy is the mainstay of treatment for heart failure exacerbations but its optimal dosing strategy remains unclear. In 2011, the DOSE trial exhibited a trend toward improvement in patients’ global symptom assessments when [...]
Case Presentation: A 34 year old male with no past medical history initially presented to an urgent care facility with abdominal bloating and discomfort over several months. It was noted at the time that he [...]