Background: Delirium is a neuropsychiatric syndrome that can occur in hospitalized patients. The negative impact that delirium has on the patient and the health system are well described and include increased mortality, risk of falls, length of stay and overall healthcare utilization. Delirium can have a heterogenous presentation including hyperactivity with agitation, restlessness and psychosis [...]

Background: Despite advances in pharmacologic care for side effects of Hematopoietic stem cell transplant, patients often suffer from long hospitalizations, multiple side effects including fatigue, insomnia, nausea, anxiety, and poor sleep. Non-pharmacologic treatments for side effects of therapy are attractive adjuncts due to a low side effect profile. Purpose: To develop, implement and evaluate a [...]

Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 [...]

Case Presentation: A sixty-eight year-old woman presented with two days of confusion and lethargy following two weeks of worsening abdominal pain, nausea and emesis. Medical history was significant for chronic pain, depression, hypertension, and a remote history of alcohol withdrawal seizures. There was no reported dyspnea, cough, or chest pain. She was a one pack [...]

Case Presentation: 44 year-old Caucasian woman presented with shortness of breath and weakness. She had a history of stage IIIC malignant melanoma (BRAF Wild Type) of right face. She underwent excision of the lesion a year prior to presentation and immunotherapy with ICI (intravenous Nivolumab 240mg every 2 weeks) was initiated. After 10 cycles of [...]

Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a gluteal abscess and was prescribed levofloxacin. Two days later, he began to experience twitching of his face and jerking of [...]

Case Presentation: A 71-year-old man with metastatic melanoma on pembrolizumab, presented with loss of appetite, nausea, vomiting, fatigue, and lightheadedness over the preceding three weeks. He was found to have orthostatic hypotension with dry mucus membranes on physical exam. Laboratory investigation revealed a sodium of 121 mmol/L. An 8am cortisol was checked and found to [...]

Case Presentation: 65-year-old female with past medical history of chronic myeloid leukemia (CML) and peripheral arterial disease (PAD) requiring drug eluting stent placement presented with symptoms of bradycardia and episodes of dizziness ongoing for 3 days. Of note, the patient was recently admitted in the hospital for pre-syncopal episode where cardiac workup was negative. Patient [...]

Case Presentation: A 51-year-old female presenting with increasing epigastric pain radiating to her back, nausea, and vomiting for five days. Her past medical history is relevant for coronary artery disease and CABG, type 2 diabetes, hypertension, prior tobacco use, and mood disorder. She had visited her primary care doctor the day prior to presentation with [...]