Case Presentation: A 50-year-old man with a past medical history notable for non-alcoholic fatty liver disease, peptic ulcer disease, gout, and depression presented to the emergency department with a 5-day history of constant, sharp, epigastric abdominal pain. Preceding these symptoms, he experienced an episode of severe nausea, non-bilious non-bloody vomiting, diarrhea, and chills after eating […]

Case Presentation: A 3-year-old female who recently returned from a bear-hunting trip in Idaho presented with a 4-day history of progressive ascending paralysis and hyporeflexia. Her symptoms initially started 4 days prior to presentation with difficulty walking and progressed to difficulty urinating and eventual upper extremity weakness. The family did not seek medical care until […]

Case Presentation: A four-year-old previously healthy, vaccinated female presented with severe, acute-onset ataxia. She was in her usual state of health until the day prior to presentation, when she was picked up from school and reported feeling like she was going to fall. She continued to develop progressive unsteadiness and experienced several falls throughout the […]

Case Presentation: A 77-year-old male with chronic kidney disease and mitral valve prolapse with a history of Lyme disease and West Nile Virus presented with fevers, night sweats, chills, and fatigue for 3 weeks. The patient had been visiting family in Texas for one month but gradually started to notice his symptoms. A few weeks […]

Case Presentation: A 73-year-old male with a history of heart failure with preserved ejection fraction presented with one month of dizziness, weakness, dyspnea on exertion, and a 25-pound weight loss due to loss of appetite. On the day of admission, he had three brief episodes of syncope upon standing. His initial blood pressure was 64mmHg/40mmHg, […]