Case Presentation: A 73-year-old man with a history of atrial fibrillation on apixaban and panhypopituitarism secondary to resection of a pituitary adenoma in the 1980s presented to our hospital for chest pain. His recent history is notable for recurrent cystitis and Clostridium difficile infections requiring stress-doses of glucocorticoids; his endocrinologist had been attempting to taper […]

Case Presentation: An 89-year-old woman with history of hypothyroidism, hyponatremia, and hypertension presented with unresponsiveness and myoclonic jerking of the lower extremities.  At baseline, she was alert and oriented to person, place and time,  and independent with activities of daily living.  She took diazepam as a home medication for unclear indication.  On the morning of […]

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 […]