Case Presentation: A 75 year old Caucasian woman, previously diagnosed ET and atrial fibrillation, presented to emergency room with acute on chronic shortness of breath. Her dyspnea was earlier attributed to chronic bronchitis in the absence of evidence of any other pathology. However, this time she had bilateral coarse crackles which correlated with her chest [...]

Case Presentation: A 54-year-old female with a history of alcohol abuse and anxiety was admitted for 1 month of progressive altered mental status preceded by visual hallucinations. Over that time period, her symptoms rapidly progressed to agitation, dementia, and personality change. Physical symptoms included left elbow rigidity, startle myoclonus, and gait ataxia. Laboratory workup was [...]

Case Presentation: A 78 y/o M with PMH of papillary thyroid CA, BPH, and primary myelofibrosis of the bone marrow (has JAK2 mutation, leukocytosis and thrombocytosis, has not received therapy to date) presented with 8 day history of early satiety, fatigue, and new increasing ascites. An inItial diagnostic paracentesis showed SAAG = 1.1, total protein [...]

Case Presentation: A 57-year-old male patient with a previous history of alcohol use was brought in by his family for progressive myoclonus and confusion. At baseline, this patient performed activities of daily living with ease. He had no history of neurologic disorders, however his mother had been diagnosed with dementia in her 70s. Over the [...]

Case Presentation: A fifty-three year old male presented with alcohol intoxication, generalized fatigue of two days, hyperglycemia and lack of appetite. He was ill-appearing, tachycardiac, severely dehydrated and distended. The patient had a long history of chronic ethanol abuse, liver disease, recurrent anemia, a right frontotemporal hemorrhage, and was found to have pancreatitis and encephalopathy [...]

Case Presentation: A 68 year-old male with hypertension and bipolar disorder presented with a 3-week history of memory deficits, weight loss, and increasing irritability. Exam revealed disorientation, dysarthria, and left sided weakness. MRI was suggestive of a right basal ganglia infarction. Patient was treated for a stroke and discharged. He was readmitted 30 days post-discharge [...]

Case Presentation: A 53-year-old female with no medical history presented with worsening mental status for 3 months. All history was given by family. Three months prior to presentation she began experiencing a generalized, persistent headache. A neurologist prescribed nortriptyline for presumed migraines, with improvement. In the month prior to presentation, the patient had become less [...]

Case Presentation: This is a case of a 66-year-old woman with history of hypertension and hypothyroidism who was brought in by her family due to confusion. At baseline, patient was a high functioning individual, working as a customer service representative and living independently. About a month prior to presentation, her family noticed a decline in [...]

Case Presentation: A 66-year-old female presented to the ED with generalized weakness, tremor, diplopia, and slurred speech. The patient’s medical history included TIA, hyperlipidemia, metabolic syndrome, anemia, BPPV, fibromyalgia, syringomyelia, DDD and depression. Notably, this patient was diagnosed with bilateral neuropathy two months prior and self-reportedly experienced gait abnormalities one month prior. Initial exam findings [...]

Case Presentation: A 60 year old female was admitted for rapid cognitive and functional decline over 6 weeks. Three months prior, she ceased working as an OR nurse due to depression and emotional outbursts and was being treated by an outpatient psychiatrist for depression. On presentation she was aphasic, echolalic and apraxic with notable outstretched [...]