Case Presentation: A 16 year old boy with obesity presented for dehydration in the setting of three months of abdominal pain, nausea, and non-bloody, non-bilious emesis. Outpatient work-up had been unrevealing. He also endorsed cannabis use and vaping. He had lost 70 pounds during this time. New symptoms in the days prior to admission included dizziness [...]

Case Presentation: A 53-year-old female with a history of hypertension presented with encephalopathy. 2 days prior, her family noticed that she was making bizarre statements that did not correlate with reality. Notably, she had a positive COVID-19 test 3 weeks prior. Social history was significant for consumption of 100-125 ounces of beer per day and [...]

Case Presentation: A 48 year-old male with a past medical history of morbid obesity, hypertension, and poorly nutritious diet consisting strictly of “pizza and chips” who presented after he was found unresponsive and incontinent of urine at home. He reportedly did not consume alcohol. Four weeks prior to presentation, he developed an acute onset of [...]

Case Presentation: A 23 year-old woman presented with blurry vision and difficulty walking for two weeks. Her family also reported two weeks of progressive memory changes and a 52-pound weight loss over four months. One month prior to presentation, while pregnant at 18 weeks gestation, she was admitted with three months of vomiting and five [...]

Case Presentation: A 13- year-old male with a history of food aversions receiving outpatient feeding therapy and normal BMI presented to the ED with one month of vomiting, dysphagia, anorexia, and an unintentional ten-pound weight loss. He was afebrile with normal vital signs. On exam, he had dry mucus membranes and mild diffuse abdominal tenderness. [...]

Case Presentation: A 29 year old female presents with one week of sudden onset double vision. She reports accompanying dark spots in her vision, photosensitivity, and some unsteadiness with walking. The patient’s friend noted that her eyes were “crossed” the morning of admission. Past medical history is significant for alcohol abuse and anxiety with a [...]