Case Report

1. Abstract A 56-year-old male patient, active smoker, with no other specific history. Admitted for upper GI hemorrhage. Clinical examination revealed a conscious, hemodynamically stable patient with discrete epigastric tenderness and melena in digital rectal examination.

1. Clinical Image A 76-year-old male presented to the emergency department with one year of generalized weakness, 20 lbs weight loss, and physical deconditioning. In the preceding one month he had developed a non-tender and non-pruritic widespread nodular erythematous rash, seen in Fig. 1, 2, and 3.

A 56-year-old male patient, active smoker, with no other specific history. Admitted for upper GI hemorrhage.

1. Abstract Non-bacterial thrombotic endocarditis (NBTE) presented a diagnostic dilemma in a 54-year-old woman with metastatic colon cancer. A large mass on the tricuspid valve initially suggested tumoral invasion.

1. Abstract Ebstein’s anomaly (EA) is a rare congenital cardiac anomaly. Presentation varies from a severe symptomatic form during the neonatal period to an incidental detection later in life due to the wide morphological variation of the condition.

1. Abstract Tension pneumocephalus, though rare, poses a significant risk following neurosurgical procedures, involving the buildup of pressurized air within the cranial cavity.

1. Introduction Mastocytosis is a disorder that affects children and adults, characterized by an excess of mast cells in the tissues. These excessive cells are most commonly found in the skin and, less frequently, in the lining of the stomach, intestines, bones, and connective tissue.

1. Abstract 1.1. Background: When implanted into a structurally normal heart, leadless pacemakers are more effective and safer than traditional pacemakers. There has been limited experience with leadless pacemakers in cases of severe right heart deformity.