Case Presentation: A 55-year-old female with a history of metastatic left renal cell carcinoma to the left hemipelvis status post nephrectomy and immunotherapy, and generalized anxiety disorder presented for chronic diarrhea described as over 10 episodes of large volume watery stools daily persisting with fasting and associated with cramping abdominal pain. She reported that previous [...]

Case Presentation: A 77-year-old male with a history of bladder cancer who had not seen a primary care physician in 11 years presented to the emergency department (ED) for progressive decline in his mental status over 4-6 weeks, with significant worsening starting one week before his ED assessment. Associated symptoms included fatigue, constipation, and decreased [...]

Case Presentation: A 71-year-old woman with a past medical history of hypertension presented for right sided flank pain and post-menopausal bleeding. The initial CT abdomen and pelvis demonstrated bilateral pleural effusions, diffuse lymphadenopathy, and right sided ureteropelvic junction (UPJ) stenosis with hydronephrosis. She underwent lymph node fine needle aspiration (FNA) and then transferred to our [...]

Case Presentation: A 55-year-old female with alcohol use disorder and untreated hyperthyroidism was admitted to an outside hospital for abdominal pain, atrial fibrillation with heart rate in the 190’s, and hypotension requiring vasopressors and ICU care. Work up revealed low TSH (< 0.010 [range: 0.450 - 5.330]) and elevated free T4 (FT4) (4.74 [range: 0.60 [...]

Case Presentation: A 23-year-old man without prior medical history was brought to the ED from his home for profound somnolence which had progressed over two days. EMTs at the scene noted that the patient was sluggishly responsive to painful stimuli. Initial vital signs were within normal limits, and a point-of-care glucose check was 28 mg/dL. [...]

Case Presentation: A 34 year-old woman with no significant past medical or psychiatric history presented to our emergency department (ED) with concern for catatonia. Two months prior, the patient developed sudden onset of bizarre behavior, aggression, and psychosis leading to a one-month admission at an outside psychiatric hospital. She did not improve clinically despite treatment [...]

Case Presentation: A 51-year-old female with a BRCA mutation and a history of prophylactic bilateral mastectomy presented with neuropsychiatric symptoms, including confusion, memory loss, and excessive sleep. Her medical history included hysterectomy and parotid tumor resection and a family history of various cancers, including prostate, lung, and lymphoma. Initial symptoms, including headaches and nasal congestion, [...]