Case Presentation: A 51 y/o male active smoker, presented with sudden onset of dizziness, confusion, right arm weakness, and numbness. He also reported left-sided chest pain and mild headache five days ago. The examination revealed decreased sensation and strength (3/5) in the right upper extremity. Labs notable for leukocytosis=22k/uL (60% eosinophils), high sensitivity troponin 440ng/L, [...]

Case Presentation: An 87-year-old female with a history of end stage renal disease on hemodialysis (HD), presented to the ED with slurred speech, altered mental status, and generalized weakness for a day. At baseline she was alert and oriented to person, place, and time. Four days prior to admission, she was diagnosed with herpes zoster [...]

Case Presentation: A 24-year-old Hispanic female with a past medical history of diabetes mellitus and hyperthyroidism presented with slurred speech for one day that was associated with left-sided upper and lower extremity weakness. She did not use tobacco, alcohol, or illicit drugs. She had sinus tachycardia at 170 beats per minute and was febrile with [...]

Case Presentation: A 55-year-old female with history of hypertension, fibromyalgia, systemic lupus erythematosus, radiculopathy, anxiety disorder, and childhood varicella presented to an outside hospital for new onset altered mental status. She was diagnosed with acute non-hemorrhagic stroke of the right occipital lobe and anterior right frontal lobe without known cause or findings suggestive of vasculitis [...]

Case Presentation: A 69-year-old male with a history of bladder cancer, adult-onset asthma, and stage IIIa chronic kidney disease, presented to his PCP and was found to have an elevated WBC. Upon further questioning, the patient reported non-productive cough, rhinorrhea, sinus congestion, malaise, myalgia, and arthralgia. He was started on supportive care for a suspected [...]

Case Presentation: A 29-year-old African American female, who has a history of preeclampsia and recent stroke, presented with confusion, unusual behavior pattern, headache, involuntary movements and forgetfulness for 3 days. She reported difficulty performing easy tasks such as putting a bottle together, changing her baby and progressive cognitive decline. She denied having weakness, numbness, seizures, [...]

Case Presentation: A 47-year-old female with a history of kidney transplant on immunosuppressive medications presented with worsening confusion and dysarthria for two days. She also reported headache, intermittent fever, and shortness of breath for one month before her presentation. On presentation, her temperature was 103 F, heart rate was 131 b/m, with normal blood pressure [...]

Case Presentation: A 40-year-old Caucasian male presented with a recent diagnosis of stage IV metastatic duodenal adenocarcinoma. Given the metastatic disease, after duodenal stent placement, the patient started on adjuvant mFOLFOX6 chemotherapy. During the second day of the first cycle of chemotherapy, the patient suddenly experienced complete right-sided weakness, headache, confusion, and slurred speech. He [...]

Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. [...]

Case Presentation: 65-year-old male with chronic alcoholism, hepatitis C, prior GI bleed, and coronary disease was found unresponsive for unknown duration and was evaluated in the ED for alcohol intoxication. Patient was admitted to the hospitalist service for acute encephalopathy, acute renal failure, and alcohol withdrawal. Vital signs were stable on admission and laboratory studies [...]