Background: Delirium is a neuropsychiatric syndrome that can occur in hospitalized patients. The negative impact that delirium has on the patient and the health system are well described and include increased mortality, risk of falls, length of stay and overall healthcare utilization. Delirium can have a heterogenous presentation including hyperactivity with agitation, restlessness and psychosis [...]

Case Presentation: A 50-year-old Latin-American woman with a history of hyperthyroidism presented to the ED with migrating polyarthralgias and fever for several days. 3 months prior, patient began experiencing stiffness, joint pains, fatigue, and palpitations. She was ultimately diagnosed with hyperthyroidism and started on Methimazole 1 month prior to current presentation. Patient presented to the [...]

Case Presentation: A 42-year-old African American woman with a history of hypertension, morbid obesity, and obstructive sleep apnea presented to the emergency department with a 12-hour history of left-sided abdominal pain, nausea and vomiting. At presentation her medications included hydrochlorothiazide, acetaminophen, ibuprofen, and lisinopril. Her first dose of lisinopril 5mg was 12 hours before the [...]

Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a gluteal abscess and was prescribed levofloxacin. Two days later, he began to experience twitching of his face and jerking of [...]