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, [...]

Case Presentation: A 46-year-old man with diabetes mellitus presented with gingival bleeding and gross hematuria for one week. He had no prior bleeding episodes or infectious symptoms. He was not using anticoagulants, drugs, or alcohol. His family history was unremarkable except for his mother’s death during childbirth. Initial exam revealed gingival bleeding, upper extremity ecchymosis [...]

Case Presentation: 75-year-old female with a past medical history of triple negative breast cancer, Stage IIB, undergoing adjuvant radiation therapy, on cycle 3 of pembrolizumab, presented with fatigue and myalgia. On Day 1, she was found to have hyponatremia with a sodium level of 125 mmol/L, urine osmolality of 227 mOsm/kg, and urine sodium of [...]