Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, hyperesthesia, and stiffness. Physical exam revealed well-demarcated cyanosis of the fourth, fifth, and medial third digits extending to the wrist [...]

Case Presentation: The patient is a 13-year-old female with attention-deficit/hyperactivity disorder (ADHD) and depression who presented following an intentional overdose of her lisdexamfetamine (Vyvanse™). She admitted to taking 15 – 40mg tablets in addition to 5 tablets of an unknown, over the counter sleep aid. She developed dizziness and mild non-radiating substernal chest pressure 10-15 [...]