Case Report

Acute Lithium Intoxication: Properly Directing an Index of Suspicion

Lithium is known for its efficacy and toxicity. Toxic effects have been characterized even with therapeutic levels. Most physicians will at some point be faced with a patient with altered mental status and no records of his or her history. The differential diagnosis of altered mental status is long, and…

Posted in: altered mental status 4 lithium 5 toxicity 10

Case Report

Leukocytosis and Hypercalcemia: A Rare Combination of Paraneoplastic Features in Squamous Cell Penile Cancer

Penile cancer is very rare in North America and Europe, as compared with the rest of the world. Squamous cell carcinoma (SCC) accounts for more than 95% of the cancer type. Paraneoplastic syndrome (PNS), a clinical syndrome of nonmetastatic systemic effects that occurs in patients with malignant disease, is often…

Posted in: altered mental status 4 hypercalcemia 10 leukocytosis 2 paraneoplastic 3 syndrome 7

Case Report

Cognitive Decline in an Elderly Hospitalized Patient With Primary Leptomeningeal Melanomatosis

Delirium is one of the most common disorders in hospitalized patients. The authors present the case of an elderly male patient with postoperative cognitive decline that did not resolve with the conventional treatment. The diagnosis was only established on autopsy. A 75-year-old man was evaluated after a fall. Initial evaluation…

Posted in: altered mental status 4

Case Report

Marijuana-induced Transient Global Amnesia

A 6-year-old boy accidentally became intoxicated with marijuana secondary to ingesting cookies laced with marijuana. He presented with retentive memory deficit of sudden onset that was later diagnosed as transient global amnesia. Transient global amnesia as a result of marijuana intoxication is an extremely rare event.

Posted in: altered mental status 4 children 22 marijuana 2
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