Case Presentation: A 61-year-old African American male with past medical history of type I diabetes mellitus, hypertension, benign prostatic hyperplasia, stage IV chronic kidney disease, and peripheral vascular disease presented to the hospital for altered mental status, lethargy, and hypoglycemia. Home medications included amlodipine, atorvastatin, ergocalciferol, insulin detemir, insulin lispro, lisinopril, sertraline and tamsulosin. After [...]

Case Presentation: A 51-year-old male with a past medical history of hypertension and schizophrenia maintained on amlodipine, risperidone and benztropine was transported to the ER psychiatric unit by law enforcement. He was detained after he was found wandering the streets demonstrating increased verbal and physical aggressiveness. He was known to the psychiatric unit, with previous [...]

Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics [...]

Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma [...]