Case Presentation: A 59 year old man with stage IV lung adenocarcinoma of the right lower lobe with metastases to the ribs and thoracic vertebra presented with shortness of breath, diplopia, and dysphagia. Six weeks prior to presentation he was treated with one cycle of carboplatin, pemetrexed, and pembrolizumab along with palliative radiation therapy to […]

Case Presentation: A 69 years old male with past medical history of C5-C6 quadriplegia and atrial fibrillation presented to clinic complaining of left temporal area discomfort for 2 weeks associated with visual alteration. He denied tongue or jaw claudication.  No tenderness over the superficial temporal artery territory was present and the remainder of physical examination […]

Case Presentation: 13 year old male on Clindamycin for right preseptal cellulitis presented with increasing pain and swelling with findings of worsening visual acuity (20/80), periorbital edema, proptosis, vertical gaze impairment and chemosis. Repeat CT showed increased right periorbital cellulitis, orbital inflammation, and early subperiosteal abscess. Despite IV antibiotics, right eye ocular findings continued to progress.  […]

Case Presentation: A 65-year-old male with a past medical history significant for hypertension initially presented with episodes of double vision, fatigue and dysphagia. Physical exam was remarkable for right-sided ptosis which improved with the ice pack test. Serology was positive for anti-acetylcholine receptor antibodies. Further workup revealed a decremental response to slow (2Hz) repetitive nerve […]

Case Presentation: An 84 year-old female with metastatic bladder cancer was admitted for a one month history of progressively worsening fatigue, bilateral ptosis, dysphagia, dyspnea, and lower extremity weakness. She was previously diagnosed with localized urothelial carcinoma in 2005 with recurrence in 2017 with pelvic metastases seen on surveillance imaging. She underwent chemotherapy, cystectomy, and […]