Case Presentation: A 66-year-old man with a history of stage IIId melanoma, who received 6 cycles of Nivolumab, presented with anorexia and persistent large-volume diarrhea. Initial workup included a non-elevated white blood cell count of 6.9 k/mm3 and a creatinine of 1.6 mg/dL from baseline creatinine of 0.8 mg/dL. CT imaging of the abdomen showed [...]

Case Presentation: A 77 year old male with history of diabetes mellitus, systolic heart failure and morbid obesity who presented with multiple episodes of falls occurring over a 2 week period. The patient reported bilateral weakness and pain in the lower extremities, in addition to sensation of paresthesias and numbness. He reported a progressive loss [...]

Case Presentation: A 64-year-old woman with end-stage renal disease (ESRD) on peritoneal dialysis (PD) presented with altered mental status. She reported “seeing monsters when I close my eyes,” “bouncing off the walls like I was drunk,” and slurring her speech at home. Her family added that she was highly functional at baseline, lived independently and [...]

Case Presentation: An 87-year-old female with a history significant for hyperlipidemia on high-intensity atorvastatin for 6 months, multinodular goiter, Raynaud’s disease, spinal stenosis with peripheral neuropathy presents with 3 days of decreased appetite and bilateral lower extremity pain. Her COVID RT-PCR screen was positive, but the patient denied cough, shortness of breath, fever, or diarrhea. [...]

Case Presentation: A 28-year-old man with a history of non-seminomatous testicular cancer presents after four cycles of chemotherapy that included bleomycin with three weeks of dyspnea and pleuritic chest pain, worse for the previous week. He reports his chest pain began after his third cycle of chemotherapy. With each cycle of chemotherapy, he experiences several [...]

Case Presentation: 56-year-old Caucasian male with history of atrial flutter/fibrillation, heart failure with preserved ejection fraction, coronary artery disease status post coronary artery bypass graft surgery, mechanical aortic valve replacement presented to the emergency department with progressive generalized weakness, fatigue and shortness of breath for 5 days. He was on metoprolol and verapamil for rate [...]

Case Presentation: 66 y.o. male with a past medical history of decompensated liver cirrhosis secondary to hepatitis C virus, IDDM, and a left BKA was admitted for recurrent falls, confusion, and drooling symptoms. He had been taking rifaximin and lactulose. Additionally, he had been started on metronidazole 500 mg 3 times daily 3 months ago [...]

Case Presentation: A 55 year old male presented with a 1-week history of severe fatigue, constipation, and diffuse abdominal pain. He reported 1 year of progressive diffuse joint pains, numbness and tingling of bilateral upper and lower extremities, and global muscle weakness recently necessitating use of a wheelchair. He had no past medical history, and [...]

Case Presentation: A 64-year-old male with a medical history of left-occipital stroke and alcohol use disorder presented with progressively worsening dizziness & weakness of his extremities ongoing for six months. The complaints were associated with numbness of fingertips and toes with gait instability resulting in repeated falls. He correlated the symptoms with starting baclofen (taking [...]