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 27-year-old Chinese-American woman presented to the ED for sore throat, flank pain, dysuria, and generalized weakness for 1 week. The symptoms began after returning on a domestic flight. She initially denied any medical history or substance use to multiple providers and insisted her symptoms were due to infrequent bathroom use during the […]

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 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: 34-year-old female with no significant past medical history presented with blurry vision, weakness and dehydration after fasting for 7 weeks during which she lost about 20 pounds. On physical examination, patient was hypertensive, tachycardic, and malnourished with a BMI of 21. She was noted to have vertical and horizontal nystagmus bilaterally as well […]