Case Presentation: A hospitalized 71-year-old female became acutely encephalopathic after an esophagogastroduodenoscopy under conscious sedation which was performed to evaluate a chronic esophageal ulcer and other potential causes of dysphagia. Her past medical history was significant for obesity, hypothyroidism, chronic back pain, peripheral neuropathy, colorectal mucinous adenocarcinoma with carcinomatosis and metastases to the lung, chronic [...]

Case Presentation: A 52-year-old male with hypertension, sleep apnea, and polycythemia presented to an outside hospital for abdominal bloating and pain with emesis for 2 weeks. Labs showed WBC up to 26k/µl, AST of 166, ALT of 155, and total bilirubin of 2.8 mg/dl with normal range lipase and lactate. Initial CT abdomen pelvis (CTAP) [...]

Case Presentation: A 37 y/o woman with past medical history of Multiple Sclerosis, diagnosed in 2011 was seen in clinic for evaluation of a new rash. Patient reported 1 week history of a reddish-purplish, non tender rash which had a circular, lacy pattern. She noted that the rash was predominantly in her lower extremities. She [...]