Case Presentation: A 79 year old African American female with non-ischemic cardiomyopathy, EF 35-40%, hypertension, chronic kidney disease, hypothyroidism, mild pulmonary hypertension, obesity, and mixed hyperlipidemia, presented with worsening dizziness and bipedal edema for 2 weeks. Patient reported stopping diuretics and carvedilol due to persistent hypotension for several months. Patient noted unintentional weight loss of [...]

Case Presentation: A 26-year-old male, recently diagnosed with Acute Intermittent Porphyria (AIP), presented with 3 days of sudden onset severe periumbilical pain exacerbated by eating. He reported 20 episodes of non-bloody emesis accompanied by bilateral facial numbness and right-sided chest pain in the 3 days prior to admission, as well as subjective fever, chills, and [...]

Case Presentation: We present a 69-year-old man with past medical history of well-controlled type 2 diabetes and multiple myeloma status-post chemotherapy (daratumumab, lenalidomide, bortezomib, melphalan) and subsequent bone marrow transplant (BMT) who presented with subacute progressive bilateral numbness and weakness in his upper and lower extremities and was found to have acute inflammatory demyelinating polyneuropathy.His [...]

Case Presentation: A 69-year-old male with a past medical history of urothelial carcinoma status post left nephrectomy began immunotherapy and was started on Atezolizumab. He developed bilateral lower extremity weakness that began following his first dose. After 3 doses, in 02/2022, his lower extremity weakness worsened to the point where he could not walk. A [...]