Case Presentation: A 34-year-old female with history of Systemic Lupus Erythematosus and gastroparesis status post Roux-en-Y gastric bypass (RYGB) surgery, was admitted for intractable nausea and vomiting. CT scan of abdomen and pelvis showed large stool burden. Conservative treatment was implemented. During her hospital course, she developed symptomatic hypoglycemia (blood glucose <40mg/dL), that recurred despite [...]

Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His [...]

Case Presentation: A 54-year-old female with hypertension, type 2 diabetes, and morbid obesity with Roux-en-Y gastric bypass (RYGB) in 2009 presented to the hospital with abdominal pain and was found to have choledocolithiasis and acute cholecystitis. She was admitted to the surgery service and underwent ERCP and laparoscopic cholecystectomy. Her post-op course was complicated by [...]

Case Presentation: A 53-year-old female with history of Roux-en-y bypass, hypertension, and type 2 diabetes mellitus presented to the emergency department following a mechanical fall. She was found to have a right femoral neck fracture and was admitted for surgical repair. There were no apparent intraoperative complications. Upon arrival to the general care floor shortly [...]

Case Presentation: A 44 year old woman with a history of Roux-En-Y gastric bypass (RYGB), hypothyroidism, and morbid obesity, presented with one day of confusion and somnolence. In the emergency department, she was unresponsive to voice with an initial Glasgow Coma Score of 9. Her temperature was 94 F, pulse 94 beats per minute, blood [...]

Case Presentation: This is a case of a 53 year old female with past medical history of hypertension, anxiety and gastric bypass surgery in 2001. She presented to the hospital acutely ill, complaining of inability to ambulate along with leg weakness that had started two years ago and was associated with progressive numbness and tingling. [...]

Case Presentation: A 54-year-old male with a history of Roux-en-Y gastric bypass surgery 12 years prior presented to the ED after labs showed a new pancytopenia from eight months prior. He reported fatigue but denied fevers, weight loss, dyspnea, bleeding, or recent infections. Medical history was notable for myocarditis 20 years ago and cholecystectomy 1 [...]

Case Presentation: A 47-year-old female with history of gastric bypass complicated by dumping syndrome, opioid use disorder on methadone, alcohol use disorder, migraines, and seizures presented with 3 weeks of painful bilateral lower extremity swelling, and 2 months of poor oral intake with persistent diarrhea. Her exam was also notable for tooth fragility, course hair, [...]

Case Presentation: A 69-year-old male with a history of hypertension, chronic pancreatic insufficiency secondary to alcohol use and intraductal papillary mucinous neoplasm. Patient underwent a Whipple procedure which was complicated by recurrent gastro-jejunal anastomotic bleeds that improved after EGD with clipping of stomach ulcer and revision of GJ with conversion to Roux-en-Y, ex-lap and wash-out. [...]

Case Presentation: A 46-year-old male with PMHx of alcohol use disorder and a partial gastrectomy (Roux-en-Y, vagotomy, paraoesophageal hernia repair) over 10 years prior who presented with a rash extending bilaterally from the elbows to extremities and trunk with the presence of bullae and skin sloughing. Labs were notable for hemoglobin of 6.8 g/dL, thrombocytopenia, [...]