Background: Patients with cardiac arrest, either with a shockable or non-shockable rhythm, are at high risk of death and neurological impairment. Hypoxic-anoxic brain injury is a major cause of morbidity and mortality in these patients. (1) International Liaison Committee on Resuscitation (ILCOR) recommends moderate therapeutic hypothermia (32°C to 36°C) for patients who achieve return of [...]

Background: The advent of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN) has provided immeasurable benefits for patients with pain from pancreatic malignancies. Here, we aim to characterize efficacy of various agents used in EUS-CPN for reducing pain secondary to pancreatic cancer by performing a systematic review and meta-analysis. Methods: Using predefined keywords, a search was [...]

Case Presentation: A 22-year-old healthy female presented in April 2021 for abdominal pain during menstruation. Vital signs and workup with blood counts, metabolic, pregnancy, and sexually transmitted infection panels were unremarkable. Urinalysis showed nitrites, pyuria, bilirubin, and urobilinogen. Ultrasound and CT of the abdomen/pelvis were unremarkable. She was diagnosed with cystitis and prescribed cefuroxime. Urine [...]

Case Presentation: A 29 year-old man presented with 3 weeks of paresthesias, fatigue, and weight loss. The patient also reported nausea, constipation, urinary urgency, and erectile dysfunction. Physical examination demonstrated decreased temperature perception and sharp-dull discrimination in the bilateral distal lower extremities. Laboratory studies revealed elevated ESR (57 mm/hour), elevated CRP (2.0 mg/dL), and decreased [...]

Case Presentation: A 74-year-old fully independent man with diabetes mellitus and hypertension developed wavy, vertical double vision which was worse in the right eye and with reading. On outpatient evaluation, he was diagnosed with metamorphopsia and palinopsia. Four weeks later, he was admitted with headache, unsteady gait, dysphagia, and visual distortion. On exam, he was well-appearing, [...]

Case Presentation: A 57-year-old male came to the hospital after he noticed dysarthria and progressive bilateral arm and leg weakness, with sensory changes that were progressive over 2 months. At the time of his presentation, his functional status had diminished- he had to use a cane to ambulate. His medical history was pertinent for HIV, [...]

Case Presentation: A 75 YO woman with HTN presented to her optometrist with a one-week history of painless, blurred vision in her left eye. Her history was notable for a febrile illness without rash 2 months prior. She was advised to go to the ED where MRI and CT imaging showed no acute abnormalities and [...]

Case Presentation: 55-year-old male with past medical history of diabetes mellitus type 2, complete heart block status post pacemaker, nonischemic cardiomyopathy and Crohn’s disease was admitted for headache, loss of consciousness and seizures. Physical exam showed nuchal rigidity. Complete blood count showed mild leukocytosis. Urinalysis was benign and x-ray chest didn’t show any infiltrates. CT [...]

Case Presentation: A 61-year-old man with a history of hypertension and type 2 diabetes mellitus developed tingling, numbness, and burning pain in his feet and calves. He was prescribed gabapentin for presumed diabetic neuropathy but had no relief. Five years later, on a routine MRI of the spine for chronic low back pain, multiple sclerotic [...]

Case Presentation: A 54-year-old woman with stage IV endometrial stromal sarcoma s/p TAH, BSO, and ileocolic resection for bowel involvement, presented with acute onset of altered mental status on the evening of receiving her day 3 of cycle 3 ifosfamide infusion. On presentation, patient was tachycardic to HR 110s, afebrile, and otherwise with stable vital [...]