Case Presentation: A 48 y/o man with history of chronic methamphetamine use, schizophrenia, and bipolar disorder presented after being found unconscious associated with urinary incontinence. He was treated for toxic metabolic encephalopathy in setting of sepsis from urinary tract infection and multifocal pneumonia. However, his mental status declined despite initiation of antibiotics. He was alert [...]

Case Presentation: A 27 year old woman with systemic lupus erythematosus (SLE) and history of a single seizure episode presented with acute altered mental status. The patient was initially disoriented and nonverbal, able to open eyes but unable to track, intermittently responding to commands, and later deteriorating, becoming obtunded and eventually comatose. Her NIH Stroke [...]

Case Presentation: We share a case of a 64 year old male with no thrombophilia history who presented with bilateral ascending lower extremity weakness and numbness from feet to bilateral upper extremities, with associated shortness of breath. Physical exam was notable for areflexia along with and decreased strength and sensation in bilateral lower extremities, with [...]

Case Presentation: A 55-year-old man with no known past medical history presented with left facial droop, left hemiplegia, and dysarthria for over 48 hours. CT of the head showed a right middle cerebral arterial (MCA) ischemic infarct. Patient was not a candidate for thrombolysis or thrombectomy and was treated with dual antiplatelet therapy. During admission, [...]

Case Presentation: A 22-year-old man with a history of recurrent oral ulcers presented with severe oral pain and ulcers following a recent respiratory illness. He had initially developed a cough and sore throat one week prior. Soon after, he experienced progressive oral ulcers, resulting in profound difficulty speaking and eating due to pain. He reported [...]

Case Presentation: – Patient is a 61-year-old female diagnosed with Ornithine Transcarbamylase Deficiency (OTCD) several years ago with hospitalizations for three seizure episodes since diagnosis. These seizures had been triggered by pregnancy, steroids and once due to non-compliance with OTCD medications, respectively. – She got diagnosed with Type 2 Diabetes Mellitus more recently in October [...]

Case Presentation: A 52-year-old female with a history of poorly controlled type II diabetes and osteoarthritis presented to the emergency department with acute weakness, malaise, chills, and right knee pain. The patient had chronic knee arthritis which acutely worsened over 2 days on the right side associated with swelling with the inability to bear weight. [...]

Case Presentation: A 44-year-old male with a past medical history of sleep apnea on CPAP, alcohol abuse, tonsillectomy, and deviated nasal septum (DNS) repair presented with generalized weakness, body aches, and headache. He denied nausea, vomiting, diarrhea, dysuria, hematuria, chest pain, and shortness of breath. There was no history of neck stiffness or photophobia. On [...]

Case Presentation: An 85-year-old female presented to the emergency department in August of this year with acute chest pain and shortness of breath. The patient was afebrile, with a heart rate of 97 bpm, a respiratory rate of 24 breaths per minute, and a blood pressure of 191/81 mmHg. Labs showed hemoglobin of 6.6 g/dL [...]

Case Presentation: 24 years old female presented in ER with persistent and progressive pain in the left lower back and left buttock for 1 week. Her pain was sharp, intermittent, severe pain, exacerbated with exertion and relieved with rest. No history of recent trauma or lifting heavy weights.Her past medical history was significant for obesity, [...]