Case Presentation: A 70-year-old man treated with Nivolumab for metastatic melanoma, presented with mild nausea and vomiting for a few days. He denied a change in urine output or appearance of urine, flank pain, or difficulty urinating. Creatinine on admission was 8.9 mg/dl (baseline 0.8mg/dl). Urinalysis revealed mild proteinuria, 21-50 WBCs/hpf. Spot protein/creatinine ratio was [...]

Case Presentation: A 78-year-old female with dextrocardia presented to the hospital from her outpatient dermatologist for hypotension, hypoxia, and altered mental status. She became diaphoretic, dyspneic (SpO2 78%), and hypotensive with systolic blood pressure in the 80s after applying topical lidocaine for a microneedling procedure. Initial exam noted diaphoresis, diffuse facial erythema and flushing, orolabial [...]

Case Presentation: A 77 year-old female without significant history presented with six months of urinary incontinence, six weeks of progressive confusion and falls, and one day of decreased speech and poor appetite. During two recent hospitalizations for acute encephalopathy, imaging revealed a frontal lobe meningioma, acoustic neuroma, and diffuse ventricular enlargement.On admission, the patient was [...]

Case Presentation: A 56-year-old female with a history of recurrent MRSA sinusitis and c-ANCA and PR3 positive granulomatosis with polyangiitis (GPA) presented with right-sided facial droop sparing the eye and upper face, unilateral facial numbness, and right-sided tongue deviation that began four hours before presentation. She also endorsed sinus fullness for the past three days [...]

Case Presentation: We present a case of a 65-year-old Caucasian male with T2 N3 nasopharyngeal carcinoma (EBV-positive), status post concurrent gentamicin/cisplatin and radiation therapy, Parkinson’s disease, chronic kidney disease stage 3a, and pancytopenia, who initially presented with fever, altered mental status, abdominal pain, and generalized weakness.Patient was recently admitted for fever and abdominal pain. Evaluation [...]

Case Presentation: A 25-year-old female with a history of Systemic Lupus Erythematosus (SLE), lupus nephritis, cardiomyopathy, transient ischemic attack, and epilepsy presented as an ICU transfer for Altered Mental Status (AMS). The patient initially presented to an outside hospital for this complaint, which was attributed to seizures. Her course was complicated by severe hypotension, again [...]

Case Presentation: The patient is a 24-year-old female with Situs Inversus Totalis (SIT), obesity, Stage D non-ischemic dilated cardiomyopathy (NIDCM), history of out of hospital cardiac arrest (ventricular fibrillation arrest) with subsequent dual chamber implantable cardioverter-defibrillator (ICD) placement who was managed as an outpatient on home inotrope therapy as a bridge pending left ventricular assist [...]

Case Presentation: A 77-year-old male with history of hypertension, hyperlipidemia, type 2 diabetes mellitus, and chronic kidney disease (stage 3a) presented with generalized weakness and fatigue. He denied other symptoms, including myalgias, cold intolerance, or oliguria. Laboratory evaluation revealed blood urea nitrogen (BUN) of 56.9 mg/dL, serum creatinine (SCr) of 5.93 mg/dL, and glomerular filtration [...]

Case Presentation: 84-year-old male with a history of metastatic castration-resistant prostate cancer (mCRPC) and metastatic squamous carcinoma of the left lung presented with progressive fatigue, exertional dyspnea, chest discomfort, and diplopia following his 2nd cycle of atezolizumab infusion. After his mCRPC diagnosis in April 2021, he progressed through multiple treatments, including androgen deprivation therapy, darolutamide, [...]

Case Presentation: 44-year-old male with a history of seasonal allergies presented with subacute mental status and behavior changes, malaise, and decreased oral intake after elective nasal polypectomy. Following polypectomy, he was started on a nasal steroid and antibiotics. Local ED determined symptoms possibly due to recent surgery. IVF and PO glucose provided temporary symptom relief. [...]