Background: Alzheimer disease (AD) is characterized by cognitive impairment including memory impairment, executive dysfunction, visuospatial impairment, and behavioral changes. Previous studies have shown that increasing level of physical activity serves as a protective factor against progression of AD. This study aims to assess the effect of long-term physical activity on cognitive function and identify whether [...]

Case Presentation: A 67-year-old female with hypertension, hyperlipidemia, diabetes, chronic kidney disease, sarcoidosis in remission, and rheumatic fever in childhood, presented to emergency department (ED) with right ear fullness and bloody discharge. During ED evaluation, she was found to have junctional rhythm at 50 beats per minute without evident P-wave, prompting admission for observation and [...]

Case Presentation: A healthy 18-year-old male presented to the emergency department with headache, confusion, projectile vomiting, blurring of vision, and gait imbalance which he developed three days prior while working out at the gym doing “shoulder shrugs”. Imaging revealed a large evolving acute left cerebellar infarct with obstructive hydrocephalus and vertebral artery dissection at the [...]