Case Presentation: A 55-year-old female with a past medical history of seizure disorder and prior opioid use presented to an outside emergency department with a 1-day history of expressive aphasia and headache. Her NIH Stroke Scale was 4. CT head w/o contrast demonstrated a subacute infarct within the left middle cerebral artery (MCA) territory and [...]

Case Presentation: A 37 year-old man presented with altered mental status and a headache after a motor vehicle collision where he was a restrained driver while intoxicated with alcohol. He had a known history of glucose-6-phosphate-dehydrogenase deficiency (G6PD). Exam was notable for superficial abrasions on bilateral upper and lower extremities, diffuse generalized abdominal tenderness to [...]

Case Presentation: Our patient is a 77-year-old female with no past medical history who presented with two weeks of dyspnea on exertion, scant hemoptysis, and rhinorrhea with occasional blood. Vitals showed tachycardia, tachypnea, and hypoxia with saturations 95% on 15 L/min via heated high flow nasal cannula. Exam revealed accessory muscle use, faint bibasilar rales, [...]

Case Presentation: A 75 year old male was transferred into the ICU, already intubated, requiring antibiotics and pressors. He was hypotensive, tachypnic with respiratory distress, had severe oliguric AKI with serum creatinine of 6.0, and anemia with hemoglobin below 7.0. His initial CXR and CT showed scattered bilateral pulmonary opacities. After he did not improve [...]

Case Presentation: A healthy 27 year-old woman G1P0 presented at 29 weeks gestation with three days of headaches, intermittent confusion, blurry vision, vomiting, and shortness of breath. Physical exam was remarkable for hypertension to 160/93, a Petechial rash on extremities without neurologic signs. CBC was notable for hemoglobin of 5.9, Platelets 11000 with many schistocytes. [...]

Case Presentation: Case Presentation:A 36 year-old male with a history of HIV adequately controlled with Biktarvy and recent monkeypox infection presented with acute onset of rapidly ascending lower extremity paralysis. He presented to the ED for primary concern of severe left upper quadrant and back pain. He also noted bilateral lower extremity numbness below the [...]

Case Presentation: A 69-year-old male with a past medical history of urothelial carcinoma status post left nephrectomy began immunotherapy and was started on Atezolizumab. He developed bilateral lower extremity weakness that began following his first dose. After 3 doses, in 02/2022, his lower extremity weakness worsened to the point where he could not walk. A [...]

Case Presentation: A 29-year-old female Jehovah’s Witness presented with three weeks of easy bruising in the absence of trauma. She also noticed heavier and prolonged menstrual flow associated with fatigue and dizziness. She denied medication use, febrile illnesses or neurologic symptoms. Vital signs were normal. Physical exam revealed multiple ecchymoses on bilateral upper and lower [...]

Case Presentation: A 54-year-old female presented to the Emergency Department (ED) with acute onset right leg weakness. Her medical history included recurrent cryptogenic strokes, fibromuscular dysplasia (FMD) involving the bilateral internal carotid arteries (ICAs), thrombocytopenia presumed to be immune thrombocytopenic purpura, and heterozygous Factor V Leiden and prothrombin G20210A gene mutations. Initial physical exam revealed [...]