Background: Patients with cardiac arrest, either with a shockable or non-shockable rhythm, are at high risk of death and neurological impairment. Hypoxic-anoxic brain injury is a major cause of morbidity and mortality in these patients. (1) International Liaison Committee on Resuscitation (ILCOR) recommends moderate therapeutic hypothermia (32°C to 36°C) for patients who achieve return of [...]

Case Presentation: A 40-year-old healthy woman, presented with two weeks of cough, nasal congestion, sore throat, intermittent fevers, fatigue, and myalgia but no weakness. She tested positive for the SARS-Cov-2. Physical exam showed no neurologic deficit. Two weeks later, respiratory symptoms were improving but she developed sudden, leg pain, numbness, and weakness. She described it [...]

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: Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by symptoms of encephalopathy and radiographic findings suggestive of vasogenic edema. Although PRES is most often triggered by hypertensive emergencies, sepsis and immunosuppressive medications have also been implicated in its pathogenesis. We present a case of PRES due to lithium toxicity.A 47-year-old female [...]

Case Presentation: A 60-year-old male with a history of hypertension, diabetes, and hypercholesterolemia presented to the emergency department for worsening shortness of breath. Subjective and objective data lead to the preliminary diagnosis of bilateral pneumonia, COVID-19 positive, and soon thereafter developed acute hypoxic respiratory failure. This patient had a prolonged ICU course complicated by septic [...]

Case Presentation: A 72-year-old male with a history of ischemic cardiomyopathy, infectious endocarditis, subarachnoid hemorrhage, and esophageal cancer presented with symptoms of fever, altered mental status, bilateral lower extremity weakness, spasms and pain. Of note, the patient was on nivolumab, undergoing targeted radiation therapy for esophageal cancer; and vancomycin and cefepime for infectious endocarditis. The [...]

Case Presentation: A 45-year-old woman initially presented with sudden dizziness upon sitting up, followed by persistent holocranial pressure headaches, blurry vision, and visual distortions resembling a kaleidoscope effect. The patient has primarily received outpatient care for persistent headaches and has undergone frequent monitoring due to worsening cognitive decline for which she was referred to a [...]

Case Presentation: An eighteen-year-old woman presents with progressively worsening weakness in her legs as well as numbness throughout her body. She also endorsed rhinorrhea, nasal congestion, abdominal discomfort, nausea, vomiting and decreased urine output. Her past medical history included depression and asthma. She received a flu vaccine 30 days prior to symptom onset and denied [...]

Case Presentation: We present the case of a physically active 41-year-old male with a history of anxiety and restless leg syndrome who presented to the emergency department with complaints of vertigo, left arm numbness, and voice changes that progressed over less than two days. Initial concerns for an acute ischemic stroke prompted a stroke code, [...]

Case Presentation: A 70-year-old female with a past medical history of hypertension, type 2 diabetes mellitus, dementia, Parkinsons, and iron deficiency anemia presented to the emergency department due to abnormal lab results. Upon arrival, her hemoglobin was 6.4 and she received 2 units of packed red blood cells. The next day, the patient underwent esophagogastroduodenoscopy [...]