Case Presentation: A 40-year-old woman with diabetes mellitus type 2 and severe malnutrition presented to our institution with symptoms of altered mental status and dysuria. Initial evaluation was most notable for a capillary blood glucose of 1113 mg/dL and initial sodium of 125 mEq/L (which corrected for glucose level was within the normal range of [...]

Case Presentation: A 62-year-old man with history of end-stage renal disease and poorly controlled type 2 diabetes mellitus presents to the hospital after a fall due to unsteady gait and was noted to have facial movements similar to tardive dyskinesia, whole body chorea, and hyperkinesis of torso and bilateral extremities. On admission, he had an [...]

Case Presentation: A 42-year-old male with past medical history of morbid obesity and methamphetamine abuse presented to the ED with a chief complaint of the right hand and arm weakness, tremors, numbness, and tingling. Three days prior to the admission, the patient reported awakening nausea and vomiting. The following day, the patient stated his right [...]