Case Presentation: A 36-year-old G9P9 Jehovah’s Witness female with no significant past medical history, presented to the emergency department with a 2-week history of postural headaches and double vision. Neurological examination was normal except for left abducens nerve palsy. CTA of the head was unremarkable, but an MRI of the head revealed diffuse smooth dural [...]

Case Presentation: A 32-year-old female with a past medical history of migraines, anxiety, and depression presented to the emergency department with complaints of bilateral leg pain and urinary retention. Two weeks prior, she started experiencing urinary frequency and was started on nitrofurantoin at an urgent care center due to concern for a UTI. She also [...]

Case Presentation: A 62-year-old female with past medical history of poorly controlled Type 2 diabetes mellitus and hypertension, presented to the emergency department with complaints of altered mental status. Her physical exam was positive for tenderness over the lower abdominal area. Initial lab work was notable for leucocytosis [WBC of 18.9 bil/L (normal 3.3- 10.7 [...]

Case Presentation: 36-year-old female with no past medical history presents with vomiting and abdominal pain after eating a meal. Symptoms were accompanied by diaphoresis, dizziness, and palpitations. On arrival to the hospital, patient’s vital signs were stable. Labs were significant for WBC 11 K/cumm, AST 64 U/L, ALT 47 U/L. Computed tomography of the abdomen/pelvis [...]

Case Presentation: Hypokalemia, especially serum potassium concentrations of < 2.5 mmol/L, is a well-recognized etiology of generalized muscle weakness. While hypokalemia, weakness, and thyroid disorders are common clinical entities, thyrotoxic periodic paralysis (TPP) is a rare condition driven by both increased gene transcription and increased intrinsic activity of the Na-K-ATPase pump. Here, we present a [...]

Case Presentation: The patient is a 50-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, heavy alcohol use, and one pack per day tobacco use who presented with epigastric abdominal pain, an episode of hematemesis, and a three-week history of nosebleeds and bloody sputum. After admission, the patient described the pain [...]

Case Presentation: A 57-year-old male comorbid with hypertension and benign prostatic hyperplasia presented to the emergency department with a 1-month history of worsening bifrontal headaches and progressive cognitive decline. The headaches were increasing in both frequency and severity, occurring throughout the day and night. He also endorsed nausea, light sensitivity, word-finding difficulty, and new memory [...]

Case Presentation: A 70-year-old woman with hypereosinophilic syndrome (HES) complicated by recurrent organizing pneumonia (OP) was admitted to a hospital medicine service with four weeks of involuntary spasms of her abdominal wall muscles and hypoxemia. She reported having similar episodes during past OP flares which resolved quickly with prednisone. Notable admission vitals included a heart [...]

Case Presentation: Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by symptoms of encephalopathy and radiographic findings suggestive of vasogenic edema. Although PRES is most often triggered by hypertensive emergencies, sepsis and immunosuppressive medications have also been implicated in its pathogenesis. We present a case of PRES due to lithium toxicity.A 47-year-old female [...]

Case Presentation: A 66 year old caucasian male with h/o RA- on chronic steroids, prostate CA s/p radiation and hormone therapy, admitted with acute onset of nausea, vomiting, rapidly progressive neurological deficits including slurred speech and inability to walk. He had received leuprolide injection followed by bicalutamide one week prior to presentation. Patient and his [...]