Case Presentation: A 14-year-old Hispanic female with history of recurrent pancreatitis, hypokalemia and disordered eating presents with diffuse weakness. She was admitted twice in recent months for pancreatitis requiring fluid and electrolyte repletion. She developed disordered eating related to fear of recurrent pancreatitis. She was discharged with oral electrolyte replacement and close follow-up. In the [...]

Case Presentation: A 62 year-old woman with hypertension presented with one day of profound, generalized weakness. The patient awoke from sleep and felt nearly paralyzed from the neck down, unable to walk or hold a glass of water. Exam revealed 2+ strength in upper and lower extremities and left wrist drop but no cranial nerve [...]

Case Presentation: We report a 22 year-old male with no past medical history presented to the emergency department with acute onset of weakness, most pronounced in the lower extremities. The patient was last reported to be in his normal state of health the night prior to presentation in which he consumed approximately six beers. Upon [...]

Case Presentation: A 30 year-old Hispanic male with no past medical history was brought to ER status post fall after sudden onset of muscle weakness in extremities. He experienced mild intermittent muscles cramps and soreness while he was driving a car prior to the onset of the weakness. He had history of similar but lower [...]

Case Presentation: A 70-year-old male with a past medical history of hypertension and diabetes was sent to the emergency room by primary care physician because of persistent hypokalemia while taking oral potassium supplements. Patient reported generalized weakness, low back pain, thirty-pound weight loss and poor appetite for a few months. He smokes one packet of [...]

Case Presentation: We present a 37-year-old man with refractory hypokalemia hospitalized for resection of his sarcoma sacral lesions. History was also significant for biopsy proven mucormycosis thyroid infection three months prior with the additional finding of a right lower lobe cavitating consolidation. He underwent subsequent thyroidectomy and was initially treated with amphotericin B and posaconazole [...]

Case Presentation: Introduction: Hypokalemic periodic paralysis (HOKPP) is characterized by transient episodes of muscle weakness and inability of muscle movement associated with hypokalemia. The paralysis typically affects the arms and legs, though the diaphragm and the tongue may also be affected.Case Description: A 50-year-old female with tobacco use and significant alcohol consumption presented with progressive [...]

Case Presentation: A 39 year-old man, medically free but experiencing chronic left hip pain from a work-related injury, received a Trigger Point Injection (TPI) with Methylprednisolone and Bupivacaine. Within 12 hours he presented with severe hypokalemic paralysis. The TPI targeted the left iliopsoas tendon and was administered using ultrasound guidance. There were no immediately perceived [...]

Case Presentation: A 29-year-old Asian male with a one-year history of recurrent generalized muscle weakness presented to the emergency department with whole body paralysis. The patient’s symptoms began abruptly that morning, when he was unable to stand and exit a train due to lower extremity weakness, which generalized over the course of one hour. He [...]

Case Presentation: A 59 year-old male with intellectual disability presented with abdominal pain and distension following a fecal impaction. Imaging revealed diffuse gaseous colonic distension with colonic wall thickening suggestive of inflammatory colitis and colonic ileus without obstruction. His labs were notable for severe hypokalemia (1.5 mmol/L) and mild hypomagnesemia. Despite empiric antibiotic course, imaging [...]