Case Presentation: A 25-year-old male with a past medical history of well-controlled Celiac disease presented to the hospital with fever and altered mental status after a wellness check was initiated by a family member. The patient was feeling unwell over the past week with fatigue, headache, sore throat, vomiting, and diarrhea. On presentation he was [...]

Case Presentation: A 23-year-old man without prior medical history was brought to the ED from his home for profound somnolence which had progressed over two days. EMTs at the scene noted that the patient was sluggishly responsive to painful stimuli. Initial vital signs were within normal limits, and a point-of-care glucose check was 28 mg/dL. [...]

Case Presentation: We report the case of a 45-year-old female with stage IA triple-negative breast cancer treated with neoadjuvant chemotherapy and pembrolizumab who developed secondary adrenal insufficiency due to adrenocorticotropic hormone (ACTH) deficiency six months after stopping the immune checkpoint inhibitor. She presented with persistent nausea, vomiting, weight loss, and altered mental status. Laboratory results [...]

Case Presentation: A 43-year female with history of gastric adenocarcinoma and Krukenberg tumor, a metastatic disease to the ovaries composed of mucin-rich signet-ring cells, status post left salpingo-oophorectomy and chemotherapy with FOLFOX [leucovorin calcium (folinic acid), fluorouracil, and oxaliplatin] and Opdivo (Nivolumab) presented due to symptoms of dysuria and generalized pain. She was febrile and [...]

Case Presentation: 75-year-old female with a past medical history of triple negative breast cancer, Stage IIB, undergoing adjuvant radiation therapy, on cycle 3 of pembrolizumab, presented with fatigue and myalgia. On Day 1, she was found to have hyponatremia with a sodium level of 125 mmol/L, urine osmolality of 227 mOsm/kg, and urine sodium of [...]