Case Presentation: A 74-year-old Caucasian male presented to our emergency department with unintentional movements of right arm and right leg for 1 day. He was diagnosed with type 2 diabetes mellitus 20 years ago and is not compliant with his insulin regimen. His medical history is also significant for diabetic neuropathy, hypertension and depression. Physical [...]

Case Presentation: A previously healthy 13-year-old male presented with a chief complaint of lower back pain and rash for the past 3 weeks. Associated symptoms included profuse sweating and 10/10 lower back pain radiating to his legs that had progressed in severity with inability to ambulate. On additional questioning, other symptoms included nausea, vomiting, diffuse [...]

Case Presentation: 52-year-old female with history of Stage IIIA triple negative right sided breast cancer, seizure disorder, and s/p lumpectomy presents with ataxia, confusion, and dyskinesia over the past 2 weeks. The patient is chronically on phenytoin, ondansetron, paroxetine, and potassium supplements. She has been on phenytoin since her last seizure three years ago. She [...]