Case Presentation: A 71-year-old man with type 2 diabetes mellitus, hypertension, coronary artery disease, and peripheral arterial disease presented with worsening bilateral lower extremity pain which started two days prior to admission. Physical exam revealed cold and pale lower extremities, tenderness, and absence of pulses on both lower limbs but no edema or ulceration. Range […]

Case Presentation: A 15 year-old boy presented to a referring facility with right lower extremity weakness, numbness and urinary retention following a spider bite. The weakness subsequently spread to the contralateral leg with ascending numbness to the umbilicus. Negative inspiratory forces then decreased to -10 cm H2O with associated dyspnea, so he was intubated and […]