Case Presentation: A 71 year old female with past medical history of DM2, HTN, and CKD presented with weakness and body aches, progressing to inability to ambulate. Home medications included insulin, valsartan, and rosuvastatin. She was found to have a creatinine of 7.99 mg/dL from a baseline of 2 mg/dL. She was also found to [...]

Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for [...]

Case Presentation: A 70-year-old female with a past medical history of diabetes mellitus type 2, hyperlipidemia, hypothyroidism and GERD presented to emergency department with complaints of weakness and myalgia. The patient reported that she was having trouble dressing and walking upstairs for 2 weeks. She stated that 2 weeks ago she felt weak and fell [...]

Case Presentation: A 75-year-old Caucasian female with a history of hyperlipidemia treated with statin presented to the emergency room for generalized weakness. She became completely bedbound over the course of 5 days. Examination showed symmetric muscle weakness with power 2/5 at proximal muscles but normal strength in distal muscles. Deep tendon reflexes were decreased. She [...]

Case Presentation: A 51-year-old Caucasian male presented for evaluation of worsening lower extremity muscle weakness and associated myalgias. He received a diagnosis of NAM after three months of progressive proximal, symmetric upper and lower extremity weakness with myalgias, and an initial creatinine kinase (CK) of 13,875 IU/L. He had been on Atorvastatin 40 mg for [...]

Case Presentation: A 38 year old woman with a history of alcohol use disorder was admitted with a month of gradually progressive weakness of the legs. She then developed shoulder girdle weakness, and eventually weakness, tingling, and numbness of the hands and feet. The day prior to her presentation, she developed dysarthria, shortness of breath, [...]