Case Presentation: Patient is a 29 year old female with no significant past medical history who presented to our hospital with an unintentional 60 pound weight loss over 3 months and 4 days of palpitations, shortness of breath, leg swelling, and orthopnea. Physical exam revealed 4+ pitting edema, tachycardia (130 beats/minutes) and jugular venous distention […]

Case Presentation: A 64-year-old man with atrial fibrillation on warfarin presented with one week of progressive bilateral lower extremity weakness. Neurologic examination was significant for paraplegia with hypertonia, decreased sensation to the T12 level, and bilateral dorsiflexion of the hallux on plantar reflex testing. Laboratory results were significant for supratherapeutic INR of 22. Initial diagnostic […]