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: A 32-year-old woman with sickle cell HbSS disease presented due to acute encephalopathy in the setting of recent admission for diffuse urticarial rash treated with steroids and diphenhydramine. She was found to be hypotensive, tachycardic, and tachypneic with development of fever soon after presentation. Chest x-ray showed left basilar opacities. She was intubated [...]

Case Presentation: A 26-year-old female with PMH migraines presented to the ED with a 3-day history of headaches unlike her migraine headache. The headache was located in the occipital region, pressure-like, not alleviated by acetaminophen, and was associated with blurred vision, left ear throbbing, and neck pain. She also reported recent head trauma. She denied [...]

Case Presentation: A 51-year-old male with previous left-sided cerebellar ischemic stroke and NASH cirrhosis complicated by hepatic encephalopathy presented with 3 weeks of slowed speech, bradykinesia, abnormal facial movements (grimacing, lip smacking, tongue protrusion, and forced eye closure), and confusion. He denied alcohol or other drug use. On presentation, vitals were normal. He was oriented [...]