A 56-year-old female with a history of hypertension, coronary artery disease, chronic kidney disease, chronic hypernatremia, bipolar disorder with psychotic features, bilateral hand tremors admitted for increased aggressiveness and agitation. The patient was baseline aggressive in nature, but it had worsened in severity in the
A 66-year-old man presented with left limb weakness and ataxia His past medical history included thyroidectomy and gastric ulcer perforation surgery. Cranial MRI disclosed the right frontal lobular surgical remnant and a
47-year-old woman with Down syndrome presented with the complaints of fear, anxiety, confusion and memory loss.Because of her change in behavior, fear, and anxiety, she became largely housebound and struggled with fatigue, took extended naps once or twice daily, and could no longer safely be left alone for extended periods. Her primary
A 73-year-old woman presented with complaints of cognitive function decline. She usually lost everything, cooked in the wrong order, and forgot where things were put. Patients and their families do not pay attention to this phenomenon. The patient’s cognitive function continued to decline, gradually she started to dress incorrectly and can’t recognize
A 49-year-old male presented to the emergency department (ED) via EMS with a chief complaint of altered mental status. Per emergency medical services (EMS), the patient was found confused in his truck with a generator running
A 17-year-old female with sickle cell anemia (hemoglobin SS) status post haploidentical bone marrow transplant from her biological mother 48 days prior and on tacrolimus for GVHD prophylaxis presented with acute onset expressive
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