Pulmonary artery angiomatoid fibrous histiocytoma mimicking pulmonary embolism.

A young man presented to the emergency department with pleuritic chest pain and shortness of breath. Of note, he recently went on a long-distance flight of about 9 hours. Given his recent long-distance travel and clinical symptoms, a pulmonary embolism was suspected.

Too young to break? A rare case of premenopausal osteoporosis.

We present a case of a 29-year-old female with fragility fracture of the ninth thoracic vertebrae with a z-score of -3.3 of the lumbosacral spine. She was worked up for secondary causes of osteoporosis, all of which was unrevealing except for a low vitamin D level which was repleted.

An Interesting Case of Critical Spontaneous Ureteral Rupture.

Spontaneous rupture of the ureter in an uncommon presentation. We present a case of an 85-year-old female patient with a past medical history significant for hypertension and hyperlipidemia who presented to the emergency room (ER) due to abdominal pain and nausea. Computed tomography (CT) of abdomen and pelvis revealed proximal ureteral and ureteropelvic junction rupture with fluid within the left retroperitoneum and pelvis.

Pancoast-Tobias Syndrome: A Unique Presentation of Lung Cancer.

A 65-year-old man with 50 pack-year smoking history presented to the emergency department for evaluation of upper back and right shoulder pain secondary to a fall. Physical examination was notable for anisocoria with a constricted left pupil (miosis), mild ptosis of the left eyelid, and bilateral shoulder pain, right more than left, with both passive and active movements. Chest computed tomography identified a soft tissue mass at the left lung apex with extension into the pleural surface, associated with destructive osseous changes of the right scapula, adjacent ribs, and thoracic vertebral bodies.

Brain Natriuretic Peptide and Troponin T in Patients With Acute Pulmonary Embolism and Grade 3 Obesity: A Retrospective Analysis.

Introduction The interpretation of brain natriuretic peptide (BNP) and Troponin T (TnT) in patients with obesity is very challenging. The applicability of these biomarkers as prognostic indicators of increased mortality in pulmonary embolism (PE) in patients with Grade 3 obesity has yet to be determined. Methods To investigate whether the combination of BNP and TnT may help to identify patients at low risk for short-term mortality, we assessed 92 patients admitted with the diagnosis of PE and Grade 3 obesity.