Case Presentation: An 82-year-old male with a history of coronary artery disease, type 2 diabetes mellitus, and cholangiocarcinoma presented with palpitations. Elevated troponin levels were noted at an outside hospital, he left against medical advice and present to UCLA for further evaluation. He presented with fatigue since his recent first cycle of treatment (cisplatin, gemcitabine, [...]

Case Presentation: A 44-year-old female with a history of an overlap syndrome of systemic lupus erythematosus and rheumatoid arthritis, fibromyalgia, and psychogenic nonepileptic seizures was in her usual state of health until 1 year ago when she developed progressively worsening dysphagia. A few months prior to presentation, she developed weakness in her proximal lower extremities [...]

Case Presentation: A 48-year-old woman with a history of fibromyalgia presented with a three-month history of progressive dyspnea, muscle weakness, weight loss (20 kg), and worsening respiratory symptoms. She initially sought care for productive cough, fever, and dyspnea, receiving treatment for pneumonia with ceftriaxone on two occasions with transient symptom relief. However, her symptoms recurred [...]

Case Presentation: A 70-year-old man with a history of stage III melanoma, previously treated with surgical resection and pembrolizumab, presented with diplopia and ptosis. Laboratory results showed significantly elevated high-sensitivity troponins and creatine kinase-MB. Initial electrocardiogram revealed complete atrioventricular block without ST-segment changes, necessitating the placement of a transvenous pacemaker. Echocardiogram showed an ejection fraction [...]

Case Presentation: A 44 year-old male with a history of gout presented with bilateral hand swelling, muscle weakness, fatigue, rash, and shortness of breath. The symptoms have progressed for the last 6 months to the point of inability to walk more than a block and needing assistance getting up despite a course of standard gout [...]

Case Presentation: A 44-year-old male with a past medical history of sleep apnea on CPAP, alcohol abuse, tonsillectomy, and deviated nasal septum (DNS) repair presented with generalized weakness, body aches, and headache. He denied nausea, vomiting, diarrhea, dysuria, hematuria, chest pain, and shortness of breath. There was no history of neck stiffness or photophobia. On [...]

Case Presentation: A 61-year-old woman presented to the Emergency Department (ED) with weakness. She had multiple falls over two months, including a presumed mechanical fall on the stairs that caused a nasal fracture two weeks prior to presentation. The patient had difficulty getting out of her car and climbing the stairs in her home and [...]