The authors report a case of a 69-year-old female with difficulty swallowing and neck swelling and review the clinical presentation, radiographic features and treatment of adult epiglottitis. Epiglottitis remains a medical emergency, with the potential for airway compromise. The authors present this case because it is a potentially life-threatening infection that warrants prompt diagnosis and management. This case is worth reporting because epiglottis in adults can have a milder and less classic presentation that sometimes results in delayed recognition.

The authors present a case of a 33-year-old African American male with respiratory diphtheria. The patient was initially assumed to have a peritonsillar abscess before various laboratory tests. He complained of dysphagia, throat pain, and shortness of breath. The patient’s physical examination, supported by video laryngoscopy imaging and a CT scan, showed swelling of his pharynx. The patient reports that he was recently incarcerated for one year and did not receive immunizations as a child. Following his diagnosis, the patient was treated and subsequently recovered.

We present a case of electrical cardioversion used to treat a hemodynamically unstable wide complex tachycardia (WCT). The patient returned to normal sinus rhythm after being cardioverted with 100 joules (J) on the first attempt. He was admitted to the hospital for cardiac evaluation and ultimately discharged home on flecainide and nebivolol after a negative cardiac workup.

Implanted artificial pacemakers are groundbreaking pieces of technology that have a vast array of medical benefits. However, as with other electronic devices, these implanted cardiac devices are not immune to failure. One of the most common failures are lead fractures, which can lead to conduction issues that result in inappropriate or insufficient electrical stimulation to the myocardium or other myocytes. The authors present a classic example of this type of artificial pacemaker failure, with the hospital course of a female patient presenting with erratic muscle contractions due to improper electrical impulse generation and conduction.

A nine-year-old child was brought to the emergency room by her mother because of an upper respiratory infection symptoms and forehead swelling. The patient was seen by the emergency department physician and diagnosed with an upper respiratory infection; the forehead swelling was felt to be related to forceful coughing. The patient and patient's mother returned on a second visit because the forehead swelling had not improved. A CT scan of the head was subsequently done which demonstrated pansinusitis.