Case Presentation: A 46-year-old female with a past medical history of hypertension, diabetes mellitus, and asthma who initially presented 2 weeks prior to the emergency department for right-sided facial paralysis and was diagnosed with idiopathic facial paralysis (Bell’s palsy). Despite being started on prednisone and valaciclovir, 2 weeks later she had suddenly developed left-sided facial [...]

Case Presentation: A 65-year-old female with a history of sphenoid sinusitis status post recent fiberoptic endoscopic sinus surgery presented with one week of neck stiffness and two days of fever, headache, photosensitivity, and diplopia. Vital signs were: temperature 102.6, heart rate 82, respiratory rate 20, blood pressure 122/45 and 95% room air O2 saturation. Physical [...]

Case Presentation: A 47-year-old male with a past medical history of Bell’s palsy, hypertension, end-stage renal disease on hemodialysis, papillary thyroid cancer s/p thyroidectomy, and post-surgical hypothyroidism presented with new-onset left sided ptosis, mydriasis and retro-orbital pain. Approximately, three weeks ago he experienced similar symptoms without corresponding headache that self-resolved. The review of systems was [...]

Case Presentation: Introduction: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. In the past decade, catheter ablation of AF has evolved from an investigational procedure to a frequent therapeutic one. Phrenic nerve injury (PNI) is a complication of ablation that internists should be familiar with, due to its increasing incidence. Case: A 77-year-old [...]