Case Presentation: We present a case of a 70 year old diet controlled hypertensive female, a New York State trained and licensed scuba diver, who presented to our emergency department with worsening headache after a rapid ascent from freshwater diving to approximately 60 feet. Patient was reportedly close to surfacing when she panicked and made [...]

Case Presentation: A 63-year-old man with history of recurrent syncope and atrial fibrillation (AF) on warfarin presented to our hospital with headache. Within the last year, he had suffered several falls due to syncope, which resulted in serious injuries, including jaw fracture and subdural hematomas (SDH). He used alcohol and marijuana daily. Previous workup for [...]

Case Presentation: 73-year-old male with past medical history of seizure disorder, non insulin dependent diabetes mellitus, hyperlipidemia presents for evaluation of pain and swelling of right lower extremity, found to have deep venous thrombosis involving multiple veins of right lower extremity, occlusive in nature. Past medical history significant for two similar episodes of VTE (venous [...]

Case Presentation: A 57-year-old African-American male, with past medical history of nonischemic cardiomyopathy, moderate aortic insufficiency, HTN, and cocaine abuse presented to the emergency room with complaints of shortness of breath (SOB), and chest pain (CP). He admitted to using cocaine on his birthday party, which was 5 days ago. After using cocaine he started [...]

Case Presentation: Reversible posterior leukoencephalopathy syndrome (RPLS) is characterized by a combination of clinical symptoms and radiographic findings. Clinical signs range from headaches and visual disturbances, to more classic seizures.1 Radiologic findings usually include vasogenic edema in the white matter of the posterior lobes of the brain, especially occipital and parietal.2 Multiple etiologies have been [...]

Case Presentation: We present a previously healthy 22-year-old female presenting with disorganized behaviors, restlessness and sub-acute decline in mental status. There was no other relevant medical, personal or familial history. However, she had stressors three days before initial change in behavior, such as infidelity with her significant other and she had tremendous anxiety and guilt [...]

Case Presentation: A 43-year-old Caucasian woman with stage IV rectal adenocarcinoma metastatic to liver and lung presented with new onset generalized tonic clonic seizures. She was receiving her second line treatment with 5-FU continuous infusion Day number 7 of 7 of the 5th cycle. This was preceded by confusion and altered mentation since the previous [...]

Case Presentation: An 80-year-old female with a history of type 2 diabetes mellitus presented with progressively worsening ataxia and left-sided weakness for 6 months. She had no symptoms attributable to bradycardia and was not taking AV nodal blocking medications. Examination revealed mild left hemiparesis and ataxic gait, with a heart rate of 40 beats/min but was otherwise unremarkable. [...]