Background: Patients with cardiac arrest, either with a shockable or non-shockable rhythm, are at high risk of death and neurological impairment. Hypoxic-anoxic brain injury is a major cause of morbidity and mortality in these patients. (1) International Liaison Committee on Resuscitation (ILCOR) recommends moderate therapeutic hypothermia (32°C to 36°C) for patients who achieve return of [...]

Case Presentation: A 40-year-old healthy woman, presented with two weeks of cough, nasal congestion, sore throat, intermittent fevers, fatigue, and myalgia but no weakness. She tested positive for the SARS-Cov-2. Physical exam showed no neurologic deficit. Two weeks later, respiratory symptoms were improving but she developed sudden, leg pain, numbness, and weakness. She described it [...]

Case Presentation: A 70-year-old gentleman with no known medical issues was brought in to the emergency department after experiencing sudden onset unresponsiveness and respiratory arrest. He had been intubated by paramedics on arrival. Upon transfer to the emergency department, he was found to have unstable atrial fibrillation with rapid ventricular response necessitating cardioversion. Initial labs [...]

Case Presentation: We present a 68 year-old man, with a history of benign prostatic hypertrophy, who presented with several months of progressive personality changes and mild gait changes. His wife noticed he had become more introverted, and his gait had become more ataxic with prolonged ambulation. He also started having subtle memory problems. On physical, [...]

Case Presentation: A 40-year-old woman with diabetes mellitus type 2 and severe malnutrition presented to our institution with symptoms of altered mental status and dysuria. Initial evaluation was most notable for a capillary blood glucose of 1113 mg/dL and initial sodium of 125 mEq/L (which corrected for glucose level was within the normal range of [...]

Case Presentation: Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by symptoms of encephalopathy and radiographic findings suggestive of vasogenic edema. Although PRES is most often triggered by hypertensive emergencies, sepsis and immunosuppressive medications have also been implicated in its pathogenesis. We present a case of PRES due to lithium toxicity.A 47-year-old female [...]

Case Presentation: A 60-year-old male with a history of hypertension, diabetes, and hypercholesterolemia presented to the emergency department for worsening shortness of breath. Subjective and objective data lead to the preliminary diagnosis of bilateral pneumonia, COVID-19 positive, and soon thereafter developed acute hypoxic respiratory failure. This patient had a prolonged ICU course complicated by septic [...]

Case Presentation: A 61-year-old male with history of hypertension, asthma, and morbid obesity presented with left arm, chest, and face numbness, back pain, and shortness of breath at rest. He denied weakness with the numbness. His symptoms were akin to “being kicked by an elephant.” These symptoms had been worsening for one week prior to [...]

Case Presentation: A 37-year-old previously healthy woman developed nausea, non-bloody vomiting and abdominal cramping a few hours after eating a beef chili followed by two episodes of self-limiting “chocolate” colored diarrhea. She presented three days later with persistent nausea, increasing fatigue and lethargy. Vital signs included a heart rate of 99/minute, blood pressure of 117/74 [...]

Case Presentation: A 72-year-old male with a history of ischemic cardiomyopathy, infectious endocarditis, subarachnoid hemorrhage, and esophageal cancer presented with symptoms of fever, altered mental status, bilateral lower extremity weakness, spasms and pain. Of note, the patient was on nivolumab, undergoing targeted radiation therapy for esophageal cancer; and vancomycin and cefepime for infectious endocarditis. The [...]