Case Presentation: A 64-year-old female with past medical history of seizures, breast cancer s/p bilateral mastectomy, hypothyroidism, anxiety and agoraphobia on Xanax, tobacco abuse presents to ED after husband found her unresponsive, with agonal breathing, slurred speech, and oral secretions. Last admission in 2019 was significant for Xanax and Benadryl overdose. On admission, vitals were [...]

Case Presentation: Pericardial effusion is relatively common in patients with uncontrolled hypothyroidism, but rarely, it progresses to cardiac tamponade. We describe a case of myxedema coma presenting with cardiac tamponade.   Discussion: A 63-year-old African American morbidly obese lady with history of hypothyroidism presented with worsening dyspnea and unresponsiveness. Family reported that she is non-compliant [...]

Case Presentation: A 49-year-old male presented with altered mental status and diffuse body pain. He denied any alcohol or drug intoxication, chest pain, shortness of breath, or infectious symptoms. His past history included chronic hypothyroidism and alcoholism. He had a temperature of 36.8 degrees Celsius with a heart rate of 96 bpm and was alert [...]

Case Presentation: A 62-year-old woman with a history of chronic kidney disease (stage 5) and acquired hypothyroidism secondary to radioactive iodine therapy for multinodular goiter presented with subacute slowed mentation, difficulty concentrating, slurred speech, visual hallucinations, and fatigue. Review of systems revealed cold intolerance, constipation, and dry skin. She was adherent to her daily levothyroxine. [...]

Case Presentation: A 45-year-old female with past medical history of gastric sleeve in 2018 and follicular thyroid carcinoma status-post total thyroidectomy in 2019, resulting in hypothyroidism, is currently taking Levothyroxine 200mcg daily. Patient presented to the Emergency department with increasing fatigue for the past 3 weeks. She reported progressive shortness of breath on exertion, “loss [...]

Case Presentation: An 88-year-old woman with past medical history of atrial fibrillation (on apixaban), CVA, glaucoma, and HTN presented to the ED after a witnessed cardiac arrest at home (downtime ~28 minutes) with ROSC achieved by EMS. As per the daughter, the patient was recently treated for a UTI with cephalexin and had been notified [...]

Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced [...]

Case Presentation: A 77-year-old male with a history of bladder cancer who had not seen a primary care physician in 11 years presented to the emergency department (ED) for progressive decline in his mental status over 4-6 weeks, with significant worsening starting one week before his ED assessment. Associated symptoms included fatigue, constipation, and decreased [...]

Case Presentation: Acute Compartment Syndrome (ACS) develops when the tissue pressure within a closed compartment exceeds its perfusion pressure, leading to myoneural ischemia. If sustained, this ischemia can result in irreversible muscle necrosis and nerve damage.We present a case of hypothyroid myxedema leading to recurrent nontraumatic ACS of the lower extremity. A 42-year-old male with [...]