Case Presentation: A 70-year-old male with a past medical history of hypertension and diabetes was sent to the emergency room by primary care physician because of persistent hypokalemia while taking oral potassium supplements. Patient reported generalized weakness, low back pain, thirty-pound weight loss and poor appetite for a few months. He smokes one packet of [...]

Case Presentation: An 80-year-old female with a history significant for breast cancer status post mastectomy with chemo/radiation therapy and phenytoin-induced liver injury in 2013 presented with nine months of weakness, weight loss, and 2-3 month history of confusion, memory loss, and widespread tremors, suspicious for focal status epilepticus. Workup revealed hyponatremia (135 mmol/L) and elevated [...]

Case Presentation: A 68 year-old-woman with right upper lobe non-small cell lung cancer on chemotherapy presented with shortness of breath. A CT scan of the chest prior to admission revealed a right hilar mass encasing and narrowing the distal superior vena cava (SVC). Her exam was notable for distended neck veins and diminished breath sounds [...]

Case Presentation: A 59 year-old female with past medical history significant for chronic hyponatremia and tobacco use presented to the hospital with complaints of dyspnea and neck pain for 2 weeks. She reported blurry vision and swelling in her neck, face and axillae. Initial vitals were stable. Admission labs were significant for sodium 125, baseline [...]

Case Presentation: A 66-year-old female with metastatic small cell lung cancer involving brain, liver, and bones was admitted via ED with generalized weakness, mild confusion, and decreased oral intake for 3 days. She was initiated on immunotherapy with immune checkpoint inhibitors, ipilimumab (human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody) and nivolumab (a programmed death receptor-1 [...]

Case Presentation: A 72-year-old male with a history of tobacco use (12 pack-years) presented to the hospital with 4 months of a progressive nonproductive cough. He experienced coughing spells lasting minutes with positional changes. The patient additionally endorsed night sweats, unexpected weight loss of 11 pounds, and dyspnea on exertion. In the days prior to [...]

Case Presentation: A 55 year old Caucasian male presented to the emergency department with two weeks of palpitations and chest pain. He experienced intermittent chest pressure and palpitations that were worse while lying down. He denied recent change in weight, skin changes, or SOB. He had a 45 pack-year smoking history, having quit two years [...]

Case Presentation: Previously healthy, never-smoker, COVID vaccinated, 45yo male with a history of hypertension presented to urgent care for one month history of shortness of breath on exertion, mild cough, and some weight loss. At urgent care, oxygen saturation was found to be 77% on room air and was transferred to Bronson Hospital for further [...]

Case Presentation: A 40-year-old woman with a history of bipolar disorder and cannabis use disorder presented with four days of headache, dizziness, and vomiting. Initial examination revealed no focal neurological deficits except inconsistent orientation to time and cognitive slowing. She was treated symptomatically and planned for discharge. As she attempted to leave the ED, she [...]