Case Presentation: 80 year-old-male with past medical history of hypertension, coronary artery disease, chronic systolic heart failure, diabetes mellitus type 2, chronic kidney disease stage 2 presented with acute onset of constant vertigo for 1 day. Patient had a history of intermittent moderate vertigo for 20 years, controlled on meclizine. However, at this presentation, patient’s [...]

Case Presentation: 84 year old previously healthy female with history of hypertension, Diabetes and chronic kidney disease stage 2 presented to the ER with dizziness. She reported light headedness with frequent room spinning while ambulating. She denied any other associated symptoms. In the ER she was noted to have a Blood pressure of 208/103 and [...]

Case Presentation: A 61-year-old man presented to the emergency department with one-month history of intermittent lightheadedness and dizziness. His symptoms were worse when standing from sitting position. He denied vomiting, diarrhea, and his appetite was stable. His past medical history was remarkable for IgM multiple myeloma for which he underwent stem cell transplant a year [...]

Case Presentation: A 19-year-old female with no significant past medical history presented to our center with recurrent unprovoked epistaxis episodes, gingival bleeding, a non-pruritic lower extremity rash, and fifteen-pound weight loss over three months. She reports associated episodes of headaches and dizziness; however, denied oral ulcers, joint swelling or pain, muscle pain or weakness, Raynaud’s [...]

Case Presentation: A 63-year old woman presented with progressive, severe bilateral hearing loss over the course of two months with complete loss of hearing over the week prior to presentation. She had associated imbalance and mild generalized fatigue. She had not received medical care for many years prior to this admission. She denied head trauma, [...]

Case Presentation: A 68-year-old previously healthy woman was presented to our hospital with acute low back pain that was not triggered by any trauma. Magnetic resonance imaging (MRI) revealed a lumbar compression fracture, and she was admitted to the orthopedic department. Two days later, she developed orthopnea and hypotension, and therefore the orthopedician consulted with [...]

Case Presentation: A 69-year-old male with a history of type 2 diabetes mellitus and hypertension presented with acute-onset encephalopathy in the setting of subacute progressive cough and worsening diffuse pain. Labs revealed corrected calcium 15.1 mg/dl, Hgb 6.8 g/dl, Cr 1.2 mg/dl, total protein 11.9 g/dl, and albumin 2.5 g/dl. Radiological studies showed a large [...]

Case Presentation: A 56 year-old man with heart failure with preserved ejection fraction, aphasia and right-sided weakness from prior strokes presented with two days of difficulty with speech and ambulation. His vital signs were normal except for an oxygen (O2) saturation of 94% on 6 liters. On exam he was somnolent but able to follow [...]