Case Presentation: A 29‐year‐old man with type 1 diabetes of 10 years presented with abdominal pain for 2 days. The pain was located in the midepigastrium, was nonradiating, associated with nausea and bilious, nonbloody vomiting. No chest pain or shortness of breath was reported. He also complained of polyuria, polydipsia, and generalized weakness. The patient […]

Background: Acquired hyponatremia and hypernatremia are common in hospitalized patients and correcting dysnatremia may improve outcomes. Nephrology assistance with dysnatremia may help optimize management, but specialist resources are limited. Targeted Automatic e-Consultation (TACo), a model of selective e-consultation based on automated identification of patients from the electronic health record, has been applied for glycemic management […]

Case Presentation: 66 year old man with a history of eosinophilic granulomastosis with polyangiitis presented with ascending numbness and unsteadiness that worsened over two days and finally manifested as paraesthesia and weakness in all extremities, gait imbalance, and diplopia. Three weeks prior to presentation, the patient had received the flu vaccine. Neurology was consulted upon […]

Case Presentation: A 27‐year old man presented with severe muscle cramping in all extremities. The symptoms began following hours of yard work in hot weather. He had previously experienced two similar episodes but otherwise had no medical history. He took no medications, had no allergies and denied illicit drug use; he stated his brother sometimes […]

Case Presentation: A 63 year‐old man presented with three weeks of worsening shortness of breath and generalized weakness. He also reported a dry cough and a history of heart failure. He was noted be afebrile, tachycardic, with an oxygen saturation of 100%. He had no lower extremity edema. Proximal muscle groups were weaker than distal […]

Case Presentation: A 60 year old female with past medical history of chronic migraines presents with chief complaint of nausea and vomiting, with associated headache and malaise. She reports recent emergency room visit two weeks prior at an outside hospital for a “cold” with stomach pain. She was told she had a urinary tract infection […]

Case Presentation: 72 yo male with history of cerebral artery aneurysm, COPD, and Stage 3 CKD presented to the hospital for elective angiography of a cerebral aneurysm. He developed PEA arrest in the preprocedural setting and ROSC was achieved after 5 minutes of CPR. Patients condition improved initially but prior to planned discharge he developed […]

Case Presentation: A 15 year old male presented to the ED after being found unresponsive in his yard. He had defecated, urinated, and had suspected seizure activity. Initial assessment revealed altered mental status, normotension, excessive urination and oral secretions, vomiting, diarrhea, diaphoresis and tonic clonic seizures. He was intubated, sedated, and given one dose of […]

Case Presentation: A 67-year-old woman with a history of osteoporosis, GERD, diverticulitis, and osteoarthritis presented to the emergency department with altered mental status and a witnessed tonic-clonic seizure one day after receiving zoledronic acid (ZA) for treatment of osteoporosis. The seizure was refractory to medical management and she required intubation for airway protection. Labs were […]

Case Presentation: 44-year-old female with recent history of cognitive deficits, aphasia, and memory difficulty, who was initially treated with IV tPA with a therapeutic response at another institution. CT and MRI of the brain performed during that hospitalization were negative for acute intracranial process. Three months later she was referred to our institution by a […]