Case Reports

An Atypical Long-Term Thiamine Treatment Regimen for Wernicke Encephalopathy

Author:

Samra Shoaib, MD

Mehnaz Hyder, MD

Margaret May, MD

A patient with rapidly changing mental status responded to treatment with intramuscular or IV thiamine but not oral dosages, suggesting that...

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Case Reports

Smallpox Vaccination-Associated Myopericarditis

Author:

Jerry Fan, MD

Hameed Ali, DO

Myopericarditis related to a smallpox vaccination often goes unrecognized and untreated because physicians are not routinely screening for...

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Case Reports

Valproate-Induced Lower Extremity Swelling

Author:

Kelley Chuang, MD

Satya Patel, MD

With its broad diagnostic differential, new-onset peripheral edema is a concern that often warrants an extensive evaluation for underlying causes...

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Case Reports

Chronic Microaspiration and Frailty: A Geriatric Smoking Gun?

Author:

Jonathan T. Stewart, MD

Vandan D. Kamath, MS, CCC-SLP

Alejandro V. Jaen-Vinuales, MD

Inna Sheyner, MD, CMD

Chronic microaspiration and diffuse aspiration bronchiolitis may account for some otherwise unexplained frailty in nursing home patients.

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Case Reports

Pan-Pseudothrombocytopenia in COVID-19: A Harbinger for Lethal Arterial Thrombosis?

Author:

Patrick Kuhlman, MD

Julio Nasim, MD

Michael Goodman, MD

Pseudothrombocytopenia in the setting of COVID-19- associated coagulopathy prompts the question whether it is representative of increased platelet...

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Case Reports

Hypercalcemia Is of Uncertain Significance in Patients With Advanced Adenocarcinoma of the Prostate

Author:

Ghaith Alhatemi, MD

Rafal Alhatemi, MD

Haider Aldiwani, MD

Marwah Hussein, MD

Edi Levi, MD

Pallavi Jasti, MD

Hypercalcemia in the setting of prostate cancer is rare with an uncertain pathophysiology and more research is needed into the role of parathyroid...

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Case Reports

Pulmonary Neuroendocrine Tumor Presenting as a Left Pleural Effusion

Author:

Miguel A. Ortiz, MD

Gabriela Montes, MD

Onix Cantres, MD

William Rodríguez, MD, MACP

The presence of a symptomatic and recurrent unilateral pleural effusion should alert physicians to consider thoracentesis with mindful use of...

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Case Reports

Difluoroethane Inhalant Abuse, Skeletal Fluorosis, and Withdrawal

Author:

Adam Custer, MD

Andrew Corse, MD

Sondra Vazirani, MD, MPH

Prolonged or excessive use of the central nervous system depressant difluoroethane, which is an easily acquired and inexpensive volatile substance...

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Case Reports

Hemiballismus in Patients With Poorly Controlled Type 2 Diabetes Mellitus

Author:

Pressley Chakales, MD

Ariel Park

Austin Amos, MS

Esther Baldinger, MD

Igor Sirotkin, MD

Alfred Frontera, MD

Swift identification of hemiballismus as a complication of poorly controlled type 2 diabetes mellitus may help facilitate optimal care through...

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Case Reports

Understanding Psychosis in a Veteran With a History of Combat and Multiple Sclerosis

Author:

Angela Lee, AB

Kalpana I. Nathan, MD

A patient with significant combat history and previous diagnoses of multiple sclerosis and unspecified schizophrenia spectrum and other psychotic...

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