Case Presentation: The patient is an immunosuppressed 57 year old male with small bowel and liver transplant due to trauma from a motor vehicle accident 20 years prior and end ileostomy due to anal carcinoma. His chief complaint was “dizziness,” consisting of lightheadedness and diplopia. His wife described three months of progressive forgetfulness and fabricating [...]

Case Presentation: A 39-year old female with a history of alcohol abuse presented with an eight-day history of numbness involving her bilateral lower extremities and hands which had progressed proximally to involve her chest wall. She reported perioral and perianal numbness, lethargy and difficulty ambulating. Examination was significant for decreased sensation in a glove-stocking distribution, [...]

Case Presentation: 30 year old female with HIV/AIDS, a recent CD4 count of 7 who presented with 4 weeks of diarrhea, nausea, vomiting and odynophagia. She reported weight loss of 190 lbs over the last 6 months. She had been recently admitted with similar complaints and diagnosed with Cryptosporidial diarrhea and esophageal candidiasis. She was [...]

Case Presentation: Our patient is a 42-year-old female with a past medical history notable for bulimia nervosa that presented to the hospital with a several-month history of worsening confusion and disorientation. The patient’s daughter reported that during this time she had occasional nausea, vomiting, poor appetite, and lower extremity weakness. She also reported that the [...]

Case Presentation: A 44 year-old woman presented with light-headedness and numbness and tingling in her hands and feet. Her past medical history included gastric reflux with hiatal hernia and Roux-en-Y bypass with hernia repair 11 weeks prior to admission, complicated by a post-operative esophageal stricture. She reported difficulty maintaining oral intake for the three weeks [...]