Case Presentation: A 55-year-old man with a history of homelessness, poorly controlled type 2 diabetes treated with insulin and complicated by recurrent diabetic ketoacidosis (DKA), peripheral vascular disease and neuropathy with foot ulcers, severe autonomic neuropathy with postural hypotension and recurrent syncope treated chronically with midodrine and fludrocortisone, and chronic heart failure with mid-range ejection [...]

Case Presentation: A 58-year-old man with a history of hypertension, type 2 diabetes with non-adherence to insulin, GERD, and daily alcohol use presented to the emergency department for three days of epigastric abdominal pain and vomiting. He had previously experienced two months of worsening nausea and epigastric fullness with eating accompanied by a 30-pound unintentional [...]

Case Presentation: 39-year-old male with history of previously treated TB meningitis 15 years ago, chronic hydrocephalus who received endoscopic third ventriculostomy few months ago, presented again with headaches and was found to have hydrocephalus. Patient received Ventriculoperitoneal shunt placement and CSF was obtained after the procedure. CSF studies showed (216-WBCs lymphocytic predominant fluid 81 %), [...]