Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination […]

Case Presentation: A 46 year old male with a history of severe Crohn’s disease requiring several colon and small bowel resections and subsequent short gut syndrome was admitted for narcotic overdose and a lower gastrointestinal (GI) bleed. He had an indwelling Hickman catheter in the right internal jugular vein for total parenteral nutrition. He had […]

Case Presentation: AN 86 years old female with medical history of hypertension, hyperlipidemia and end stage renal disease presented to the emergency room with chest pain of 2 hours duration radiating to her back, jaw and left arm. Physical exam revealed normal vitals, blood pressure was equal in both arms. Cardiac and chest exams were […]

Case Presentation: A 74-year-old male with a past medical history of Stage III CKD and paroxysmal atrial fibrillation was initially taken to his PCP by his wife for changes in his mental status, trouble remembering things and following directions while driving. As his outpatient workup was ongoing, he also developed a fever with chills and […]

Case Presentation: This is a 64 year old male with a past medical history of bipolar disorder without previous psychiatric admissions, type 2 diabetes mellitus, stroke and autoimmune encephalitis that presented to the emergency room from a subacute rehabilitation facility (month long stay since an L3-L4 discectomy) with altered mental status. While at the rehabilitation […]

Case Presentation: A 66-year-old female presented from the Dominican Republic with a 6-month-history of progressive weight loss, worsening confusion and inability to ambulate. On exam, she was alert and oriented to person only, pale but otherwise stable. Her neurological exam was pertinent for dysdiadokinesis and a positive Romberg sign. Her labs were notable for pancytopenia, […]

Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing […]

Case Presentation: A 16 year old obese female, with history of menorrhagia and iron deficiency, presented with five days of progressive left hip and thigh pain. The pain was described as sharp and radiating from the left hip to knee.  Hip flexion and ambulation made it worse.  Seven weeks prior, she started an OCP (oral […]