Case Presentation: A 57 year old female presented to the ER with complaints of worsening dyspnea for three weeks. Immediate arterial blood gas revealed: pH 7.26 PO2 79.5 PCO2 55 HCO3 30.5 with Sa02 87% on 6L O2. There was a massive fat pad around her neck (image 1). CTA performed did not show any pulmonary emboli. Her past medical […]

Case Presentation: A 76 year old male with a history of hypertension and hyperlipidemia presented with acute onset ascending weakness, perioral tingling, and loss of temperature sensation. The patient’s profound weakness progressed over the course of a few days, with subsequent diplopia, hallucinations, and confusion. He received the influenza vaccine a few weeks prior, and […]