My most interesting cases of the week. Can you guess the diagnosis?

I just got off a long stretch of working 7 days in a row in the ER. Every time I finish a shift I like to replay in my mind every patient I saw and I ask myself: 1. is there anything I could have done better? 2. were there any gaps in knowledge regarding any disease processes? 3. was I able to make a positive impact in my patients life? Working in emergency medicine, we often feel like we make the most impact when working on a code, and we are able to bring a patient back and/or taking care of a crashing patient. Well, this week I was reminded we can drastically improve the quality of there life. Today, I want to share my most interesting cases of the week. Case 1: 34 year old male c/o chest pain after cocaine use Case 2: 55 year old female complaining of cough following "failed" treatment for pneumonia Case 3: 58 year old male c/o SOB with a pulsating uvula Case 4: 24 year old female 5 weeks GA c/o vaginal bleeding and lower abdominal pain - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   https://www.medgeeksmentorship.co/application   - Learn more about what we do here https://medgeeks.co/about-us - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates: https://www.facebook.com/groups/medgeeks