Case Presentation: A 44 year old woman with a history of Roux-En-Y gastric bypass (RYGB), hypothyroidism, and morbid obesity, presented with one day of confusion and somnolence. In the emergency department, she was unresponsive to voice with an initial Glasgow Coma Score of 9. Her temperature was 94 F, pulse 94 beats per minute, blood [...]

Case Presentation: This is a case of a 53 year old female with past medical history of hypertension, anxiety and gastric bypass surgery in 2001. She presented to the hospital acutely ill, complaining of inability to ambulate along with leg weakness that had started two years ago and was associated with progressive numbness and tingling. [...]

Case Presentation: A 44 year-old woman presented with light-headedness and numbness and tingling in her hands and feet. Her past medical history included gastric reflux with hiatal hernia and Roux-en-Y bypass with hernia repair 11 weeks prior to admission, complicated by a post-operative esophageal stricture. She reported difficulty maintaining oral intake for the three weeks [...]