Background: Traumatic brain injuries (TBIs) pose a unique problem because prognosis is difficult to predict; therefore, treatment decisions are complex with uncertain outcomes. According to the American College of Surgeons 2018 Trauma Quality Improvement Project (TQIP), identified patients should receive a palliative care assessment within 24 hours, a family conversation should be held within 72 [...]

Case Presentation: A 49-year-old male with a history of type 1 diabetes mellitus, end stage renal disease, status post pancreas-kidney transplant maintained on tacrolimus and mycophenolate mofetil, who presented with a three-day history of fever, tension like headache, nausea, and non-bloody emesis. He denied exposures to pets, including cats. Laboratory values were significant for elevated [...]

Case Presentation: This is a 65 y.o. male with PMHx significant for Monoclonal Gammopathy of Undetermined Significance (with prior negative skeletal survey and negative bone marrow biopsy), CKD stage III who presented with chief complaint of lethargy, bilateral extremity weakness, and dysarthria. Patient stated that he has been experiencing such symptoms for the past year, [...]

Case Presentation: A 79-year-old African American male patient with a past medical history of prostate cancer presented with progressive weakness, headache, and confusion. Free and total PSA levels were within normal limits. Brain MRI showed a 4.1×3.3×4.1 cm left frontal lesion at the surface of the left lateral ventricle with vasogenic edema and midline shift. [...]

Case Presentation: In infectious disease diagnostics, Next-Generation Sequencing (NGS) is a game-changer. The test is particularly useful when regular tests are unable to pinpoint the problem, especially in healthy people with no risk factors for unusual infections. It enhances pathogen identification through genetic analysis A 55-year-old woman with sigmoid diverticulosis and recurrent urinary tract infection [...]

Case Presentation: A 51-year-old African American female with a past medical history of hypertension, hyperlipidemia, and alcohol use disorder presented with acute onset confusion and difficulty with communication upon awakening preceded by intermittent mild headache for a few weeks. While in the emergency room, the patient experienced a grand mal seizure. The patient was afebrile [...]

Case Presentation: A 55-year-old female with a past medical history of stage IV intranasal mucosal melanoma (status post resection of the nasopharynx, medial maxilla, floor of the sphenoid sinus, and clivus – two years prior) and current use of nivolumab presented to the hospital with two weeks of a worsening, pressure-like right temporal headache and [...]

Case Presentation: An 83 year-old female with history of hypertension presented to the emergency department with altered mental status for the past 2 days. Family reported patient to have a low impact fall, 2 weeks prior. In route, patient was noted to be febrile at 101.7˚F. Upon arrival, vitals were stable. Patient was found to [...]

Case Presentation: 20-year-old, nine weeks pregnant female attempted suicide by hanging. Following CPR for fifteen minutes she had a spontaneous return of the circulation. Myoclonic jerks and generalized seizures secondary to anoxic brain injury were noted. Two days later, her brainstem reflexes were absent. Transcranial Doppler revealed no blood flow and she was declared brain [...]

Case Presentation: 54 yo White Male with PMH of hereditary hemorrhagic telangiectasia (HHT) presented with right-sided focal neurological deficits, word finding difficulties, confusion and headache.  He was treated for a brain abscess with surgical resection and antibiotics X 1 month at an OSH attributed to recently sustained head trauma.  Follow up MRI 1 month later, [...]