81-year-old man presented with one day history of visual disturbance with associated chest discomfort. At the time of initial assessment his visual deficits had resolved. Initial CT brain showed area of hypoattenuation involving right occipital lobe concerning for an infarct. His background history included atrial fibrillation for which he was therapeutically anticoagulated with warfarin and INR was 2.7. Transthoracic echocardiogram showed a severely dilated leftatrium with a large mobile mass a...

A 57-year-old male with a past medical history of benign prostate hypertrophy (BPH) was admitted with altered mental status. Due to patient altered mental status history was obtained from family members. Patient used to live alone and was able to take care of his activities of daily living. He was found confused and covered in feces and urine by his family members. Last well known was 1 week ago. The patient was seen in hospital 5 years ago for urinary retention. A temporary Foley catheter was p...

Gallbladder agenesis is a rare biliary anomaly which can be important for patients complaining of chronic abdominal pain. Gallbladder agenesis can mimic cholecystitis by causing recurrent upper abdominal pain and tenderness. In a significant number of patients with gallbladder agenesis, unnecessary surgical procedures are performed because of the misdiagnosis. The morbidity of the disease can reduce, since the correct diagnosis of gallbladder agenesis decrease unnecessary surgical procedures. Th...