Case Presentation: Hypermagnesemia is a rare but serious condition associated with impaired renal function. We report a case of bradycardia with hypothermia secondary to hypermagnesemia from consumption of milk of magnesia (MgOH2) in a patient with end-stage kidney disease (ESKD). A 52-year-old man with ESKD on emergent hemodialysis, diabetes mellitus, hypertension, and hyperlipidemia presented for [...]

Case Presentation: A 27-year-old woman with a past medical history of recurrent bilateral shoulder dislocations presented with three months of progressive constipation, early satiety, nausea, vomiting, and an 18 kg unintentional weight loss. Prior to this admission, she had seen orthopedic surgery due to her recurrent, spontaneous bilateral shoulder dislocations and was noted to have [...]

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 [...]

Case Presentation: A 77 year-old male with a past medical history of Parkinson’s disease and hyperlipidemia presented to the emergency department with a two week history of constipation, abdominal pain and distension. His medications include carbidopa-levadopa, entacapone, ropinirole, selegiline and atorvastatin. He also reported taking daily milk of magnesia for the past two weeks. On [...]

Case Presentation: A 3-year-old previously healthy female presented as a transfer from an outlying facility with a 1.5-week history of no stool output and progressively worsening abdominal pain. Trials of polyethylene glycol at home were unsuccessful. She subsequently developed a distended, firm, acute abdomen on the day of admission. There was no associated fever, vomiting, [...]

Case Presentation: Hypermagnesemia is a rare, but potentially fatal clinical condition. We report a case of symptomatic hypermagnesemia in an 84-year-old female with stage 4 CKD who was taking daily magnesium oxide with intermittent milk of magnesia for chronic constipation. She presented with confusion, delayed verbal and motor response, and dyspnea and her presentation was [...]