Case Presentation: 59-year-old female with no significant past medical history presented to the hospital with worsening dizziness, vertigo, and diplopia in the right eye. Vital signs were unrevealing. On physical exam, she appeared nontoxic but uncomfortable with eyes closed resting on the bed. The neurologic exam revealed severe nystagmus in the right eye, intact CN [...]

Case Presentation: A healthy 64-year-old woman presented with a sudden onset of crampy lower abdominal pain, nausea, and vomiting. Physical examination showed a soft, distended abdomen with lower abdominal tenderness and multiple waxy, brown to tan colored papules and plaques on the back, resembling “raindrops,” consistent with seborrheic keratoses. This skin finding was new; her [...]

Case Presentation: A 65-year-old female with a history of focal epilepsy and carotid stenosis with recent endarterectomy presented with four weeks of abrupt aphasia, right sided weakness and several days of altered mental status and unusual left-hand movements. Since the endarterectomy one month prior to presentation, her family reported cognitive decline, memory loss and increased [...]

Case Presentation: A 74-year-old Hispanic male patient with a history of monoclonal gammopathy of undetermined significance presented with worsening right upper extremity (RUE) motor weakness for the last few months. This was present in an ulnar nerve distribution with muscle wasting in the hypothenar and fourth and fifth metacarpal areas. Blood work was notable for [...]

Case Presentation: A 66-year-old female with medical history of breast cancer s/p mastectomy and chemoradiation with no proven recurrence and a recent CT guided biopsy of paraaortic nodes showing adenocarcinoma of unknown primary who presented to the ED with chief complaint of shortness of breath and leg swelling. Physical examination was significant for BP of [...]

Case Presentation: A 72-year-old male with a history of ischemic cardiomyopathy, infectious endocarditis, subarachnoid hemorrhage, and esophageal cancer presented with symptoms of fever, altered mental status, bilateral lower extremity weakness, spasms and pain. Of note, the patient was on nivolumab, undergoing targeted radiation therapy for esophageal cancer; and vancomycin and cefepime for infectious endocarditis. The [...]