Unusual presentation! devil in details Our patient, female 50 years old with no previous significant medical history. Two days before the presentation show was waked at night with unbearable epigastric pain and vomiting, so she went to the ER, ER she received IV PPI and referred for ECG Her ECG at the ER shows diffuse [...]

Clinical history: A young female, 22 years old, with a previous history of hypertension on various medications, the last one was amlodipine; she came to the clinic with complaints that her blood pressure was no longer controlled. Please share with us in the comments what do you think about the diagnosis of this young lady? […]

A male patient, 55 years old, presented with dyspnea; he did an Echo study that showed moderate aortic incompetence! But if you look closely at the images, you will notice the eccentricity of the aortic jet, so it should be qualified as severe incompetence! Share your opinion in the comments! Grading of the aortic incompetence […]

Male patient with 26 years old, presented with progressive dyspnea with no previous cardiac history. His ECHO shows severe mitral incompetence and LV dilation! What do you think about the etiology of this mitral incompetence? share with us in comments!