A 44-year-old male patient with no past medical history presented 2 weeks after seropositive coronavirus disease 2019 (COVID-19) infection with vision problems suggestive of optic neuritis. Radiological testing showed findings suspicious for acute bilateral optic neuritis. The patient had also anti-MOG antibodies. Whether this was an optic neuritis due to COVID-19, MOG antibody disease, or an activation of MOG antibody disease by COVID-19 is discussed in this case.

Background: Medical students have different perception of symptoms and illness. Moreover, medical students report barriers to seeking help about their health, and are more likely to seek advice informally from friends and/or family. It is important to identify health seeking behaviors among medical students to be able to modify and interfere accordingly. Objectives: To describe the health seeking behavior of medical students in UOS and identify the factors affecting those behaviors. Methods: A cross-sectional study was conducted at the University of Sharjah during the spring semester of the academic year 2012-2013. Self-administered questionnaires were distributed to all medical students from all 5 years. Questions were related to physical health seeking behaviors only. Data was analyzed using the SPSS21 software. Results: We have found that self-prescription was the most common practiced health seeking behavior among 91.8%-96.6% of UOS medical students (CI of 95%) followed by the order ignoring a health problem, seeking immediate care, using the internet, reading more about the problem and self diagnosis & management. All are practiced by more than 50% of the students. A set of other behaviors was identified as well. Factors affecting these behaviors mainly included: self-care orientation & medical education. Other factors that had a role as well were: gender, stage of studying, having a chronic illness and lack of knowledge about the health services available. Conclusions: Medical students in the University of Sharjah have a high level of self-care orientation and accordingly, tend to react to their illness in a variety of ways. The most common of these is self-prescription. Studying medicine is the 2nd major factor that influences their health seeking behaviors. Sufficient guidance about the consequences associated with certain behaviors may be required.

A 28-year-old female presented to the emergency room with epigastric pain, nausea, and vomiting; her lipase was elevated, and computed tomography of abdomen showed evidence of acute pancreatitis. Her past medical history was significant for poorly controlled insulin requiring type 2 diabetes mellitus and 2 previous admissions for hypertriglyceridemia-induced pancreatitis. Due to the severity of her pancreatitis presentation, she was admitted to the intensive care unit. She received aggressive intravenous fluid hydration and was started on an insulin drip. Apheresis was strongly considered given the degree of her hypertriglyceridemia (11 602 mg/dL), but there was no timely access to this treatment option. She, however, significantly improved with insulin therapy alone. Her triglyceride levels decreased rather quickly to 4783 mg/dL within 24 hours and by the fourth day of admission were comfortably <1000 mg/dL with insulin infusion along with clinical improvement. She was discharged on niacin and insulin therapy along with her home medications of statin and fenofibrate.

A 67-year-old female patient with a past medical history of menopause, migraines, and gastro-esophageal disease presented with palpitation, fatigue, and shortness of breath. One month prior to her presentation, she reported having flu-like symptoms. Her EKG showed sinus tachycardia with no other abnormality. Laboratory findings, along with imaging, showed normal results. The event monitor failed to detect any arrythmias. We report a case of inappropriate sinus tachycardia secondary to viral infection as a diagnosis of exclusion.

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