Case Presentation: A 70-year-old woman visiting from India with history of hypothyroidism and adrenal insufficiency presented with four days of profuse diarrhea and fever. She was admitted for sepsis secondary to Rotavirus gastroenteritis with initial sodium level 132 (135-145 mmol/L). On day 2 of hospitalization, sepsis resolved with isotonic fluids and stress dose steroids, but [...]

Case Presentation: A 54 year-old female presented to the ED with five days of fatigue, nausea, vomiting, and abdominal pain, increasing confusion, and somnolence after a recent viral illness. On physical exam, she was noted to have large, fixed masses in her breasts with bulky axillary lymphadenopathy. Upon further questioning, the patient revealed that she [...]

Case Presentation: We present a case of a 50-year-old male with a history of developmental disability and hypothyroidism who presented from a nursing home with fatigue and cough for three days. The patient was found to have a left upper lobe consolidation on chest x-ray consistent with pneumonia. Labs revealed neutrophilic leukocytosis. He was started [...]

Case Presentation: An 88-year-old female with autoimmune iritis on chronic methotrexate presented after a ground level mechanical fall. Vitals were unremarkable except for O2 saturation of 80% on room air, which improved with 3 lpm of O2. Initial pulmonary exam was unremarkable; her right wrist was swollen and tender. Initial work up showed an elevated [...]

Case Presentation: A 46-year-old, previously healthy woman of Korean descent initially developed heartburn associated with thirst and frequent urination. Two months later, she presented to the Emergency Department with epigastric pain and persistent thirst. She appeared euvolemic, and her initial workup was notable for a serum sodium (SNa) of 144 mmol/L and urine specific gravity [...]

Case Presentation: A 33-year-old woman with metastatic breast cancer and recent subtotal resection of a suprasellar brain metastasis presented with subacute fatigue and confusion a month after her surgery. She was oriented only to self, normotensive, with an exam notable only for mild left sided weakness, unchanged from her post-operative discharge. Admission laboratory data showed [...]

Case Presentation: A 70 year-old woman with no known history was admitted with symptoms of urinary incontinence and generalized weakness. Workup was notable for a positive urinalysis, positive Influenza swab, and serum sodium of 142mmol/L. She was started on ceftriaxone, oseltamivir and isotonic fluids (normal saline). On hospital day (HD) 2, her sodium was 159mmol/L, [...]

Case Presentation: LF is a 63 year-old female with a history of schizoaffective disorder, gastroparesis, and stage III chronic kidney disease (CKD) who was initially admitted to the inpatient psychiatric unit for psychosis with suicidal and homicidal ideation in the context of medication nonadherence. Mental status exam was remarkable for persecutory delusions and auditory hallucinations. [...]

Case Presentation: A 49-year-old woman with a history of alcohol use disorder, hypertension, asthma, obesity, and prior lacunar stroke presented to a different hospital with seizure-like activity, encephalopathy, and right gaze deviation. Additional collateral history noted a year of progressive cognitive, bladder, and ambulatory dysfunction, resulting in wheelchair dependence.On admission, she was diagnosed with urosepsis [...]