The Perfect Storm: A Case of Thyrotoxic Crisis Masking as Altered Mental Status in the South Bronx.

Thyrotoxic crisis better known as thyroid storm is a rare life-threatening endocrine emergency that is the result of dysregulated hypermetabolic state caused by excessive production and release of thyroid hormones compromising multiple organ systems. Unfortunately, this condition carries significant mortality depending on whether the thyroid storm was associated with thyrotoxicosis. Early recognition and treatment are paramount to survival.

Case Report of an Atypical Abdominal Pain Found to be a Rare Corynebacterium Emphysematous Pyelitis.

Recognizing life-threatening infections is crucial for an emergency physician. In this case report, we describe an atypical presentation of a severe, infiltrating kidney infection, which, if not recognized early, could have led to a detrimental outcome. Emphysematous pyelitis, which is class I of emphysematous pyelonephritis, is a rare entity, and patients may present with a urinary tract infection or pyelonephritis.

A Case Report on Methimazole-Induced Severe Hypothyroidism.

Severe, uncorrected hypothyroidism can result in a dangerous hypometabolic state leading to myxedema crisis, a rare but life-threatening illness. Myxedema crisis is a clinical diagnosis. The treatment for severe hypothyroidism and myxedema crisis is multifaceted, centered around thyroid hormone replacement, identification and treatment of precipitating factors, and intricate supportive care.

"I'm so weak I feel paralyzed. Can you help me?" A case on thyrotoxic periodic paralysis.

Thyrotoxic periodic paralysis (PP) is a rare condition characterized by muscle weakness in the form of hyperthyroidism and hypokalemia. We present the case of a 38-year-old Hispanic male with PP that had been occurring over the course of 4 years. After several emergency department visits, the cause of his symptoms was still unknown.