Case Presentation: The patient is an immunosuppressed 57 year old male with small bowel and liver transplant due to trauma from a motor vehicle accident 20 years prior and end ileostomy due to anal carcinoma. His chief complaint was “dizziness,” consisting of lightheadedness and diplopia. His wife described three months of progressive forgetfulness and fabricating [...]

Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His [...]

Case Presentation: Patient is a 47-year-old female with a past medical history of uncontrolled type 2 diabetes, hypertension, and stage 3 chronic kidney disease. She was admitted to the hospital on 10/14/22 with intractable nausea/vomiting (N/V) and diarrhea. She had been in and out of the hospital for the past few months with these symptoms. [...]

Case Presentation: A 14-year-old male with autism spectrum disorder presented with history of 5 days of refusal to move and imbalance for 2 days, following diarrheal illness two weeks prior. On admission, he was tachycardic and hypertensive with dry mucous membranes. His neurologic exam was limited by agitation but demonstrated symmetric facies and 5/5 strength [...]