Case Presentation: An 80-year-old female with past medical history significant for atrial fibrillation on apixaban, coronary artery disease, heart failure with preserved ejection fraction, Grave’s disease s/p thyroidectomy on vitamin D, calcium and levothyroxine supplements, and diabetes mellitus presented with 1 week of malodorous urine and 3 weeks of auditory and visual hallucinations. She reported [...]

Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced [...]

Case Presentation: A 66-year-old male with hypertension, type 2 diabetes, hyperlipidemia, pulmonary emboli with +lupus anticoagulant, and intrathecal morphine pump presented for increasingly frequent episodic altered sensorium. Episodes were described as < 30 seconds of paresthesia, speech arrest, and déjà vu; no loss of consciousness or focal deficits. Onset was 2-3 months prior with associated [...]