Background: GLP1RAs have been proven beneficial for weight loss in patients with NAFLD with or without Diabetes. However, such use is limited due to cost and limited insurance coverage in those without diabetes. Methods: Retrospective chart review of patients with NAFLD seen at Multidisciplinary NAFLD clinic in Low SES community. Results: A total of 11 [...]

Case Presentation: A 47-year-old Hispanic female smoker presented with aone-week history of severe, intermittent substernal chest pain radiating tothe left arm. The pain was associated with palpitations and shortness ofbreath. She was afebrile with a heart rate of 100, a blood pressure of119/59, a fine tremor, and brisk reflexes. No lid lag or proptosis wasappreciated. [...]

Case Presentation: A 22 year-old G1P1000 pregnant woman at 24 weeks presented with hypertensive urgency and newly diagnosed intrauterine growth restriction in the setting of pre-eclampsia. On admission her physical exam and laboratory data were unremarkable. The patient was admitted to maternal fetal medicine for closer fetal monitoring. On hospital day (HD) 9 she began [...]

Case Presentation: An 82-year-old man with a past medical history of coronary artery disease, atrial fibrillation, heart failure with reduced ejection fraction, stroke, non insulin-dependent diabetes mellitus and chronic kidney disease stage III presented to the hospital with uncontrollable movements of his right-side upper and lower extremities. His symptoms began spontaneously two weeks earlier and [...]

Case Presentation: A 40yo woman with no significant past medical history presented to her optometrist with three months of progressive intermittent blurry vision. She was diagnosed with bilateral papilledema and advised to urgently follow up with her primary doctor. Upon evaluation she denied any symptoms aside from her visual changes. Her heart rate was 132 [...]

Case Presentation: A 55-year-old female with a history of renal cell carcinoma treated with left-nephrectomy and Pembrolizumab-immunotherapy presents with complaints of weakness, orthostatic hypotension, nausea, and vomiting with food aversion. She had been admitted with similar complaints 9 times since her left nephrectomy, each time having received full workups including extensive sub-specialty evaluations including cardiology, [...]

Case Presentation: An 81-year-old woman with a pertinent history of primary hypothyroidism and lung adenocarcinoma, treated with durvalumab, was admitted to the hospital in shock after being found lethargic, hypotensive, and hypoxic at home.Prior to admission, she developed weakness, fatigue, anorexia, vomiting, and diarrhea. She had recently been hospitalized with presumed septic shock attributed to [...]

Case Presentation: A 55-year-old female with alcohol use disorder and untreated hyperthyroidism was admitted to an outside hospital for abdominal pain, atrial fibrillation with heart rate in the 190’s, and hypotension requiring vasopressors and ICU care. Work up revealed low TSH (< 0.010 [range: 0.450 - 5.330]) and elevated free T4 (FT4) (4.74 [range: 0.60 [...]