Case Presentation: A 44-year-old male patient with a history of vitiligo, presented with a chief complaint of lower extremity tingling and numbness sensation. Upon evaluation, the patient reported unintentional weight loss along with fatigue and frequent palpitation. A review of blood testing revealed an elevated TSH level, HbA1c, a low T4, Free T3, and vitamin […]

Case Presentation: A 62-year-old woman with a history of chronic kidney disease (stage 5) and acquired hypothyroidism secondary to radioactive iodine therapy for multinodular goiter presented with subacute slowed mentation, difficulty concentrating, slurred speech, visual hallucinations, and fatigue. Review of systems revealed cold intolerance, constipation, and dry skin. She was adherent to her daily levothyroxine. […]

Case Presentation: A 74-year-old female presented to the ED with two days of shortness of breath and fatigue. She reported a past medical history of heart failure with reduced ejection fraction, chronic kidney disease, and essential hypertension. Medications included Lisinopril, Amlodipine, Furosemide, Atorvastatin, Aspirin, Famotidine, and Warfarin. She denied tobacco, alcohol, and illicit drug use. […]