Background: Stroke is a leading cause of long-term disability in the U.S., with many being attributable to lifestyle-related risk factors. Obesity and diabetes, in particular, have been shown to significantly increase the risk of having a stroke. However, the connection between these conditions and the severity of stroke is not as well understood. Some research [...]

Case Presentation: We present the case of a physically active 41-year-old male with a history of anxiety and restless leg syndrome who presented to the emergency department with complaints of vertigo, left arm numbness, and voice changes that progressed over less than two days. Initial concerns for an acute ischemic stroke prompted a stroke code, [...]

Case Presentation: Patient is a 53-year-old female with a medical history of hypertension, hyperlipidemia, diabetes, and tobacco use, presented with a right middle cerebral artery (MCA) stroke and left-sided weakness. She initially delayed seeking care, attributing her symptoms to chronic back pain, but was eventually brought to the hospital by her family. MRI revealed a [...]

Case Presentation: A 67 year-old female presented to the ED with acute left upper extremity paresis and facial droop. She had 2 previous cardioembolic strokes, in 2007 from mitral nonbacterial thrombotic endocarditis for which she started warfarin and in 2010 after stopping warfarin for 8 months due to menorrhagia. Warfarin was switched to apixaban in [...]

Case Presentation: A 57-year-old man with history of Stage IV pancreatic adenocarcinoma, coronary artery disease, and deep venous thrombosis presented to the emergency room with chest pain and acute bilateral lower extremity swelling. The chest pain began several hours prior to admission and the swelling developed over the past 3 days. On exam, he had [...]

Case Presentation: A 34-year-old male presented with past medical history only significant for occupational exposure to non-ionizing radiation and recent dog bite approximately a week ago. He came in with a chief complaint of intermittent episodic non-exertional chest pain, dizziness, vertigo, and darkened urine. He states this has been ongoing and most recently also developed [...]

Case Presentation: This is a 37-year-old male presented to ED with bilateral leg numbness and incontinence. An MRI was done that revealed herniation of nucleus pulposus of lumbar intervertebral disc with sciatica and he was taken to the OR for an emergent Full L4 laminectomy, bilateral L4-5 microdiscectomies, bilateral foraminotomies of the S1 nerve roots, [...]

Case Presentation: A 72-year-old man with hypertension and tobacco use presented to the emergency room with three days of nausea, vomiting, substernal chest pain, and thoracic back pain, following weeks of worsening vertigo. He also described a year of progressive tinnitus, diplopia, unsteady gait, and restless legs. Vital signs were stable. Physical exam revealed bilateral [...]

Case Presentation: A 56-year-old female with a history of recurrent MRSA sinusitis and c-ANCA and PR3 positive granulomatosis with polyangiitis (GPA) presented with right-sided facial droop sparing the eye and upper face, unilateral facial numbness, and right-sided tongue deviation that began four hours before presentation. She also endorsed sinus fullness for the past three days [...]

Case Presentation: A 56-year-old man was found unresponsive at home during a wellness check. Paraphernalia and the condition of other patients at the scene suggested a drug overdose. In the emergency department, his vital signs were HR 136 bpm, BP 164/90 mmHg, RR 22, and SpO2 94% on room air. Due to severe agitation, physical [...]