Case Presentation: Patient is a 71-year-old female who presented to the emergency department due to outpatient labs showing a significant anemia. Her primary complaint was a worsening feeling of generalized weakness over the last four weeks. She denied blood in her stool or urine, or any history of bleeding or clotting disorders. She was found [...]

Case Presentation: A 50-year-old female with a history of alcohol use disorder presented to the emergency department with a one-day history of unsteady gait, decreased lower extremity sensation, and slurred speech. She reported using 20 whippits (recreational inhaled nitrous oxide) daily for the preceding 3-4 weeks. She denied any dietary restrictions. Exam revealed 3+ patellar [...]

Case Presentation: A 32-year-old man with a remote history of alcohol and cocaine use disorders, depression and morbid obesity presented to hospital with numbness in the upper and lower extremities occurring over several months. His symptoms began with numbness and paresthesias in the hands and feet which was intermittent but became constant and spread proximally [...]

Case Presentation: A previously healthy 27-year-old man presented with one week of generalized weakness and lightheadedness upon standing. He works in construction (installing fireplaces) but had been unable to work during the last week due to symptoms. On presentation, he was tachycardic with HR 120; vital signs were otherwise normal. Exam was notable for significant [...]