Case Presentation: An 85-year-old female presented to the ED with a chief concern of altered mental status from her previous baseline cognitive status a few hours prior. The patient’s medical history was significant for dementia, type 2 diabetes mellitus, and hypothyroidism. Initial exam revealed a confused but cooperative patient, A&Ox2 (self and time), discoloration of [...]

Case Presentation: An 80-year-old man with recently-diagnosed pulmonary fibrosis presented to the hospital with ascending bilateral lower extremity pain and weakness. His symptoms began in both feet and calves, and progressed proximally toward his thighs over the past 6 weeks. During this timeframe, his symptoms evolved from being able to ambulate for miles and climb [...]

Case Presentation: A 34-year-old morbidly obese man with a history of recurrent headaches was admitted to the hospital with two months of rapidly progressive bilateral vision loss, weight gain, and lower extremities (LE) and scrotal swelling. An eye exam revealed severe papilledema in both eyes. Labs revealed brain natriuretic peptide 588 pg/ml and chest X-ray [...]

Case Presentation: A previously healthy 19-year-old woman presented to the hospital for a persistent headache with photophobia, nausea, and vomiting that started one week prior. Previously, she was evaluated in the emergency department three times with a negative brain MRI with contrast as well as MRI angiography and venography. On admission, given lack of improvement, [...]