Case Presentation: 62-year-old male admitted following new onset generalized tonic clonic seizure lasting 5-6 minutes witnessed by mother. Per EMS on scene, he was agitated and required ketamine and midazolam while on route to the hospital. Upon admission, he was hemodynamically stable with physical exam only remarkable for raised maculopapular rash extending from the left [...]

Case Presentation: The patient is a 72-year-old male with a medical history of gout and hypertension who presented from an outside hospital with diplopia and muscle cramps. Per patient report, he was sitting at home watching TV when he started noticing double vision, followed by a pressure sensation around his left eye. He did not [...]

Case Presentation: A 50-year-old African-American male with a past medical history of essential hypertension presented to the emergency department with a 3-day history of worsening substernal chest pain and shortness of breath. He had no fever, chills, cough, recent immobility, or changes in his medications. He was compliant with hydrochlorothiazide. A review of systems was [...]

Case Presentation: A 78-year-old man with atrial fibrillation on amiodarone and rivaroxaban, heart failure with reduced ejection fraction (HFrEF) on metoprolol and furosemide, hypertension on amlodipine and lisinopril, type 2 diabetes on metformin, and chronic kidney disease, presented with several weeks of progressive lethargy and confusion in the setting of chronic functional and cognitive decline.He [...]

Case Presentation: A 30-year-old woman with triple positive (Beta-2-glycoprotein IgG/IgM, anticardiolipin IgG/IgM, and lupus anticoagulant) antiphospholipid syndrome (APS) taking apixaban, aspirin, and hydroxychloroquine presented to the emergency department for progressive confusion, emesis, and hematochezia found to be in cardiogenic shock due to right ventricular failure with critical limb ischemia due to complete right popliteal artery [...]

Case Presentation: A 58-year-old female presented to the hospital with fevers and L upper extremity weakness. She had a history of neurosarcoidosis diagnosed two years previously and treated with prednisone, infliximab, and mycophenolate mofetil. She had discharged ten days ago after a prolonged hospitalization for evaluation of multiple R cerebral lesions and mild leptomeningeal enhancement. [...]

Case Presentation: A 27-year-old woman with a past medical history of recurrent bilateral shoulder dislocations presented with three months of progressive constipation, early satiety, nausea, vomiting, and an 18 kg unintentional weight loss. Prior to this admission, she had seen orthopedic surgery due to her recurrent, spontaneous bilateral shoulder dislocations and was noted to have [...]

Case Presentation: Autoimmune encephalitides comprise a rapidly evolving group of immune-mediated disorders characterized by inflammation of the brain parenchyma. Patients with this disorder manifest a wide spectrum of neurological and psychiatric presentations developing over days to months. One sub-type is anti-NMDAR-encephalitis, which is characterized by complex neuropsychiatric features and the presence of IgG antibodies against [...]

Case Presentation: A 70-year-old male presented to the emergency department with complaints of right leg swelling, redness, and pain. The patient worked as a landscaper, and five days earlier, he had spent several hours cutting a field of tall grass that had been watered that morning with non-potable pond water. Upon completing his workday, the [...]

Case Presentation: A 38 year-old woman presented with a three-day history of bloody diarrhea, left lower quadrant pain, anorexia, and nausea. She denied any sick contacts and did not eat any raw vegetables, raw or undercooked meat, frozen dinners, or restaurant food. CT abdomen and pelvis showed severe colitis and white blood cell count was [...]