Case Presentation: 41 years old Hispanic gentleman with no significant past medical history who presented to the hospital for difficulty walking and diarrhea.Over the last four years, he has had watery non-bloody diarrhea multiple times daily. He reported one bloody bowel movement a week before his presentation. He had lost a significant amount of weight […]

Case Presentation: This is the case of a 44-year-old Hispanic male with a history of polysubstance use (alcohol, marijuana and cocaine) and vitamin B12 deficiency presented to the emergency department with lower limb weakness, fasciculations, spasms, paresthesia, ataxia, left-sided blurry vision, emesis and intractable hiccups for several days. He initially symptoms started in September 2018 […]

Case Presentation: A 43-year-old African-American female with a history of multiple sclerosis complicated by paraplegia, neurogenic bladder, and seizures presented to the hospital with a syncopal episode and was found to have a hemoglobin of 2.9 (12.0 to 16.0 gm/dL) with red blood cell count RBC 0.96 (4.00 – 5.20×10^6/uL), lactate dehydrogenase 639 (

Case Presentation: A 21-year-old female with a history of remitting-relapsing MS, and primary adrenal insufficiency presented with fever of three days duration, followed by acute chest pain, and shortness of breath. The patient had been started on her second cycle of alemtuzumab infusion two days prior to presentation. Initial blood work was remarkable for leukocytosis. […]

Case Presentation: A 37 y/o woman with past medical history of Multiple Sclerosis, diagnosed in 2011 was seen in clinic for evaluation of a new rash. Patient reported 1 week history of a reddish-purplish, non tender rash which had a circular, lacy pattern. She noted that the rash was predominantly in her lower extremities. She […]