Case presentation An 85-year-old woman came to the ER with complaints of acute onset lightheadedness, palpitations, and near-syncope. There was no nausea, vomiting, chest pain, abdominal pain, fevers, chills, polyuria, constipation, or diarrhea. History Recurrent bladder carcinoma in situ, diagnosed in 2013, recurred in 2018 and 2019.
Treatment: Intravesicular bacillus Calmette-Guerin(BCG) No history of diabetes or gestational diabetes diagnosis Medication: Simvastatin, pembrolizumab (started nine months prior to her emergency room visit), omeprazole, and solifenacin No alcohol, tobacco, or drug use No family history for endocrinopathies Physical examination showed fatigue (BMI 20.25 kg/m 2 ) and a benign abdominal examination. Lab values Source: Cureus ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its accuracy, we…
