Case Presentation: A 23 year old female with no significant medical history  presented to another hospital with progressive paresthesisas and lower extremity weakness for 6 weeks. Within 24 hours of admission she rapidly declined, requiring intubation and mechanical ventilation. She was sent to our facility for further management. On arrival she had flaccid, areflexic quadriparesis [...]

Case Presentation: A 73 year old female presented with acute onset of recurrent falls lasting for 1 week. On day 2 of her hospitalization, hematuria with dysuria was present, which was treated as an UTI. Physical examination revealed progressive ascending weakness from lower to upper extremities with decreased reflexes bilaterally. She also developed urinary retention [...]

Case Presentation: A 40-year-old woman with diabetes mellitus type 2 and severe malnutrition presented to our institution with symptoms of altered mental status and dysuria. Initial evaluation was most notable for a capillary blood glucose of 1113 mg/dL and initial sodium of 125 mEq/L (which corrected for glucose level was within the normal range of [...]

Case Presentation: A 44-year-old man with a past medical history of poorly controlled diabetes mellitus type 2 presented to the emergency room with 7 months of bilateral leg pain and swelling that acutely worsened in the last 2 weeks and multiple recent mechanical falls. The falls were not associated with loss of consciousness or other [...]

Case Presentation: A 55 year old male with a history of hypertension, hyperlipidemia and significant history of alcohol abuse presented after presyncope with subsequent fall and head trauma. On presentation he was confused and dysarthric. He complained of generalized malaise for the past two weeks associated with nausea and poor nutritional intake. He denied fever, [...]

Case Presentation: A 34-year-old man with hypertension on chlorthalidone and recent COVID-19 infection treated with Paxlovid presented to the ED with three days of shortness of breath, dizziness, and diarrhea. On exam, he was alert, neurologically non-focal, and underweight by BMI. Initial lab work was significant for severe hyponatremia (< 100 mmol/L) and hypokalemia (2.3 [...]