Background: Stroke is the leading cause of mortality worldwide. However, available treatment options are limited due to the narrow treatment time window and reperfusion injury after revascularization. New treatment modalities to overcome these challenges are in need. Chlorpromazine and promethazine (C+P) have been utilized for cerebral edema, central high fever with restlessness, and delirium [1, [...]

Case Presentation: We describe a case of a 76 year old male with history of advanced centrilobular emphysema who developed platypnea and orthodeoxia. He was diagnosed with severe obstructive disease since 4 years and was on home oxygen. He had multiple admissions for dyspnea with treatment including supplemental oxygen, bronchodilators, steroids and antibiotics. His oxygen [...]

Case Presentation: A 37-year-old man with type 2 diabetes mellitus presented with an episode of bifrontal and retro-orbital headache, left-sided upper extremity and facial numbness, generalized weakness, and dysarthria. The patient reported similar symptoms one week prior to presentation that lasted 12 hours, and which were accompanied by syncope. Over the past month, the patient [...]

Case Presentation: A 68-year-old Caucasian male with a history of hypertension, prediabetes (A1c 5.9), and chronic gout presented to the hospital with acute transient left-sided weakness and numbness. MRI confirmed a small acute CVA and CTA revealed complete occlusion of right internal carotid artery (ICA) and 75% stenosis of left ICA. Workup included a negative [...]

Case Presentation: A 75-year-old female with a history of Crohn’s disease with known sigmoid colon stricture presented to the Emergency Department with severe abdominal pain; CT abdomen pelvis without contrast revealed pneumoperitoneum, ascites, and a likely perforated colon. She was emergently taken to the OR and subsequently underwent exploratory laparotomy with rectosigmoid colon resection, end [...]