Case Presentation: A 64-year-old female with past medical history of seizures, breast cancer s/p bilateral mastectomy, hypothyroidism, anxiety and agoraphobia on Xanax, tobacco abuse presents to ED after husband found her unresponsive, with agonal breathing, slurred speech, and oral secretions. Last admission in 2019 was significant for Xanax and Benadryl overdose. On admission, vitals were [...]

Case Presentation: A 67-year-old male with a history of Graves’ disease, paroxysmal atrial fibrillation status post cardiac ablation not on anticoagulation, and chronic ibuprofen use presented to the emergency department with progressive dizziness, fatigue. He noted 10 days of black stools. Additionally, patient’s wife reported he had confusion that started yesterday. Patient presented stable on [...]

Case Presentation: An 82 y/o woman with Grave’s disease (diagnosed 3 years prior), h/o thyrotoxicosis, CKD stage 4, HTN, DM2, PAD s/p right AKA, HFpEF, and dementia presented to the ED with worsening bilateral upper extremity edema and new-onset right facial swelling. She denied dyspnea, dysphagia or voice change. Her arm edema was previously managed [...]

Case Presentation: A twenty-year-old male patient with no past medical history presented to the emergency department with bilateral lower extremity weakness after working in agricultural fields which had progressed over three hours to near paralysis. When the patient was first evaluated, an ECG revealed his heart rhythm to be in asymptomatic ventricular tachycardia. He exhibited [...]

Case Presentation: A 45-year-old female with past medical history of gastric sleeve in 2018 and follicular thyroid carcinoma status-post total thyroidectomy in 2019, resulting in hypothyroidism, is currently taking Levothyroxine 200mcg daily. Patient presented to the Emergency department with increasing fatigue for the past 3 weeks. She reported progressive shortness of breath on exertion, “loss [...]