Case Presentation: 67 year old caucasian male with history of right sided hemicolectomy, schizoaffective disorder on clozapine presented with severe epigastric abdominal pain and nausea for 4 hours. He was hemodynamically stable on presentation and physical exam revealed distended abdomen with diffuse tenderness. Initial blood work including CBC, CMP, TSH, lactate was within normal limits. [...]

Case Presentation: A 51 year-old male with paranoid schizophrenia, hypertension and type 2 diabetes mellitus was admitted to an inpatient psychiatric hospital for decompensated schizophrenia in the setting of medication nonadherence. Treatment included initiation and up-titration of clozapine. Within three weeks, he developed generalized abdominal pain, non-bilious non-bloody emesis and diarrhea. Exam was notable for [...]

Case Presentation: We present a case of a 24-year-old male with a history of schizophrenia who presented from a psychiatric facility for fever and tachycardia. The patient had been admitted to the facility for failure of previous antipsychotic therapy and was being transitioned to clozapine. On admission, the patient was noted to be febrile to [...]

Case Presentation: 64-year-old man with history of schizoaffective disorder, hypertension, cigarette smoker (quit recently) was admitted to the hospital with acute onset recurrent falls in the last 2 weeks. Medications include buspirone 10mg, amlodipine 2.5 mg, metoprolol 50 mg, clozapine 450 mg. He had hypotension on presentation, which improved with fluids. Symptomatic orthostatic hypotension persisted [...]

Case Presentation: A 56 year-old-female with past history of schizoaffective disorder on clozapine after failure of many antipsychotic medications for around 3 years got voluntarily hospitalized in a psychiatric facility for over 2 months and then presented to the acute care hospital with complains of fever, generalized fatigue and abdominal pain and admitted for SIRS [...]

Case Presentation: A 26-year-old male with a history of schizophrenia presented with generalized abdominal pain and altered mental status. He has a history of multiple psychiatric admissions, specifically seven times in the past two years, and long-term antipsychotic usage. Most recently, he was discharged on clozapine, divaloproex, and trazodone. Initial physical exam was notable for [...]

Case Presentation: A 44-year-old gentleman with a history of traumatic brain injury and schizophrenia presented to our emergency department after reporting chest pain at his group home. He had been started on clozapine 2 weeks prior. This had been titrated up to 100 mg daily, five days prior to presentation. Due to his underlying cognitive [...]