Case Presentation: The patient was a 54yo male with history of alcoholic cirrhosis, CKD, and depression who originally presented to the hospital for a fall, L orbital fracture, and also developed rhabdomyolysis. His hospitalization was complicated by an NSTEMI and he underwent cardiac catheterization with PCI of an anomalous circumflex artery and placement of an [...]

Case Presentation: A 39 year-old woman presented to our hospital in late August with non-neutropenic fever and a diffuse maculopapular rash involving her palms and soles. Past medical history was significant for HER2 positive, locally advanced inflammatory carcinoma of the breast. The patient had received neoadjuvant chemotherapy with adriamycin, cyclophosphamide, paclitaxel, pertuzumab, and trastuzumab two [...]

Case Presentation: A 57-year-old male patient with a previous history of alcohol use was brought in by his family for progressive myoclonus and confusion. At baseline, this patient performed activities of daily living with ease. He had no history of neurologic disorders, however his mother had been diagnosed with dementia in her 70s. Over the [...]

Case Presentation: A 41-year-old gentleman with history of spinal trauma status post several spinal surgeries and chronic arachnoiditis presented to the emergency department reporting vertigo, generalized weakness, headache, and fever developing over the past two days. On exam he was alert and oriented, with irregularly irregular tachycardia, tachypnea, and a temperature of 39.2°C. Additionally and [...]

Case Presentation: A 70-year-old woman with hypereosinophilic syndrome (HES) complicated by recurrent organizing pneumonia (OP) was admitted to a hospital medicine service with four weeks of involuntary spasms of her abdominal wall muscles and hypoxemia. She reported having similar episodes during past OP flares which resolved quickly with prednisone. Notable admission vitals included a heart [...]

Case Presentation: An 87-year-old woman with a history of pancreatic cancer status post distal pancreatectomy/splenectomy/partial colectomy, chronic kidney disease, hepatocellular carcinoma, and diabetes was admitted following sudden onset of new, uncontrollable bilateral upper extremity shaking and facial twitching. Symptoms started the night before and became progressively worse with dyspnea, nausea, and bilateral lower extremity tremors [...]

Case Presentation: A 37-year-old previously healthy woman developed nausea, non-bloody vomiting and abdominal cramping a few hours after eating a beef chili followed by two episodes of self-limiting “chocolate” colored diarrhea. She presented three days later with persistent nausea, increasing fatigue and lethargy. Vital signs included a heart rate of 99/minute, blood pressure of 117/74 [...]

Case Presentation: A 36 year old African-American gentleman with a history of asthma presented to the Emergency Department with dizziness, numbness of both lower extremities, gait imbalance, bowel and bladder incontinence which had been worsening since the last 2 months. MRI thoracic spine revealed Focus of abnormal T2 signal within the upper thoracic spinal cord [...]