Case Presentation: A 25 year-old man presented with agitation and altered mental status. He was placed in physical restraints and given Ativan due to severe agitation. He was found to be tachycardic, with dilated pupils, erythematous arms, and dry skin. Upon further questioning, the patient endorsed blurred vision, dry mouth, and difficulty urinating. A foley [...]

Case Presentation: A 47 year old female with a history of depression and remote Roux-en-Y gastric bypass surgery, presented for an elective laparoscopic gastrectomy due to hypertrophic pyloric stenosis causing complete gastric remnant outlet obstruction. Her home medications included duloxetine, pantoprazole and alprazolam. Vital signs on admission revealed blood pressure 147/83 mm Hg, pulse 80 [...]

Case Presentation: We report a case of a 44 year old female with a history of hepatitis C and alcoholic cirrhosis, abstinent from alcohol for about two years, who presented from a nursing facility with few weeks of confusion and bilateral lower extremity weakness and imbalance. Her family reported that she was oriented, communicative and [...]

Case Presentation: A 68 year-old woman with a past medical history of paroxysmal atrial fibrillation, recurrent Clostridium difficile infection and intra-abdominal abscess for which she was treated with ceftriaxone and metronidazole for six weeks, presented to the emergency department with slurred speech and ataxia. CT head showed no acute hemorrhage, infarction or other intracranial disease [...]

Case Presentation: IntroductionMost cases of mushroom ingestion are benign with fatalities being rare. Symptoms range from acute gastro-enteritis to psychotropic manifestations that are usually self-limiting. Our case highlights a unique case of mushroom poisoning fatality The Case 72 y.o F Korean visitor to NE USA presented with acute onset of emesis, diarrhea, abdominal pain and [...]

Case Presentation: A 61 year-old female presented with nausea, vomiting, and upper abdominal pain 18 hours after ingesting local wild mushrooms. Initially, her physical exam was benign, including a normal abdominal exam. Her laboratory results were unremarkable and vital signs were stable; however, she was unable to tolerate oral intake, and was thus admitted for [...]