Case Presentation: A 55 year old Caucasian male patient with medical history of hypertension, osteoarthritis and smoking presented with dizziness, oliguria and right gluteal pain for 5 days following a blunt injury that occurred when he fell on wet grass while mowing his yard. His symptoms persisted despite a course of ciprofloxacin as an outpatient. […]

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 19-year-old African-American woman with history of neonatal meningitis with baseline mental retardation, left hemiparesis and seizure disorder presented with altered mental status, decreased responsiveness, new right hemiparesis and aphasia. Brain and spine MRI revealed demyelination representing an acute inflammatory myelopathy. MR spectroscopy revealed findings of necrosis and anoxia. Mental status change was […]

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 […]