Case Presentation: This case describes a 72-year-old female with previous left pontine cerebrovascular accident (CVA) in 2019, hypertension and hyperlipidemia who presented to the Emergency Department with worsening bilateral shoulder pain and progressive weakness. Two years prior, statin therapy was started for secondary CVA prevention, however, the statin was discontinued because the Patient developed muscle [...]

Case Presentation: A previously healthy two-year-old male presented with six days of painless right ptosis, fever, cough, and nasal congestion. He had no ocular or head trauma. He had tried antihistamines without benefit. Non-contrast CT head showed only paranasal sinus disease. See Image 1.He was evaluated by Neurology and Ophthalmology and found to have complete [...]

Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a gluteal abscess and was prescribed levofloxacin. Two days later, he began to experience twitching of his face and jerking of [...]

Case Presentation: A 63-year-old male presented with altered mental status of one day duration. The patient’s history was significant for CAD, CKD Stage 3, and a recent whipple procedure for cholangiocarcinoma complicated by abdominal abscess requiring percutaneous drainage and prolonged course of ertapenem (renally dosed). He was admitted to the hospital with encephalopathy after having [...]