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 36 year-old female with history of bulimia nervosa, bipolar disorder and borderline personality disorder presented to the emergency department after she woke up with painful spasm of bilateral hands. She had been vomiting multiple times daily for the past few days but denied any paresthesia, numbness, weakness, tingling, diarrhea, laxative or diuretic [...]