Encephalopathy

/Tag:Encephalopathy

A NEARLY-MISSED OPPORTUNITY: DIAGNOSING EPIDURAL ABSCESS DURING RESOLVING ENCEPHALOPATHY

Case Presentation: A 59 year-old woman with uncontrolled diabetes mellitus and end-stage kidney disease on hemodialysis presented with altered mental status and a suprapatellar abscess. Following irrigation and debridement, her course was complicated by septic [...]

By | 2019-03-11T14:39:03+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A NEARLY-MISSED OPPORTUNITY: DIAGNOSING EPIDURAL ABSCESS DURING RESOLVING ENCEPHALOPATHY

EARLY RECOGNITION AND TREATMENT OF A PATIENT WITH AN ATYPICAL PRESENTATION OF HASHIMOTO ENCEPHALOPATHY

Case Presentation: Hashimoto encephalopathy is a poorly understood and rare complication of Hashimoto thyroiditis. Patients can present with seizures, movement disorders, or cognitive decline that improves with steroid therapy. The disease is a diagnosis of [...]

By | 2018-03-19T13:12:06+00:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on EARLY RECOGNITION AND TREATMENT OF A PATIENT WITH AN ATYPICAL PRESENTATION OF HASHIMOTO ENCEPHALOPATHY

HASHIMOTO’S ENCEPHALOPATHY: A RARE CAUSE OF ALTERED MENTAL STATUS

Case Presentation: A 60-year old female with past medical history significant for diabetes, hypertension, and hypothyroidism presented with acute onset confusion progressing over the course of 5 hours. On exam, patient’s vitals were significant for [...]

By | 2017-04-20T16:28:25+00:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HASHIMOTO’S ENCEPHALOPATHY: A RARE CAUSE OF ALTERED MENTAL STATUS

HYPERAMMONEMIC ENCEPHALOPATHY IN ROUX-EN-Y GASTRIC BYPASS WITH AFFERENT LOOP SYNDROME

Case Presentation: A 33-year-old female with liver fibrosis, elective gastric bypass surgery 10 years prior (Roux-en-Y, complicated by afferent loop syndrome requiring subsequent small bowel resection), untreated Hepatitis C (but persistently negative RNA titers), bipolar [...]

By | 2019-03-11T14:41:58+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on HYPERAMMONEMIC ENCEPHALOPATHY IN ROUX-EN-Y GASTRIC BYPASS WITH AFFERENT LOOP SYNDROME

Take Your Vitamins

Case Presentation: A 36-year-old woman with medical history only significant for obesity presents with confusion and difficulty ambulating one week prior to our evaluation. Two months ago, she underwent an uneventful laparoscopic sleeve gastrectomy for [...]

By | 2017-04-17T12:10:01+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Take Your Vitamins

The Evil Side of Ertapenem

Case Presentation: A 90 year old female, with diabetes mellitus type 2, hypertension and osteoporosis presented to our emergency room with altered mental status for 5 days. The patient had been treated for jaw osteonecrosis [...]

By | 2016-02-01T08:00:34+00:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on The Evil Side of Ertapenem