Background: Alcohol withdrawal syndrome is a clinical syndrome with clinical manifestations of anxiety, insomnia, irritability, disorientation, hallucinations, seizures, and autonomic hyperactivity. Delirium tremens is the most severe manifestation of alcohol withdrawal. Although benzodiazepines are currently the first line for treatment of alcohol withdrawal, barbiturates are increasingly used for treatment as an alternative[1–3]. We need strong […]

Case Presentation: Patient 1:39 week gestation newborn male with a birth weight of 3521 grams. Prenatal course was overall uncomplicated. Mother was a 27 year old G2P2 woman who had used medical cannabis several times a week during pregnancy for PTSD, anxiety and headaches. No other non-prescribed substances were used and umbilical cord toxicology testing […]

Case Presentation: 50-year-old female with HTN and hyperlipidemia was brought to the ED after being found unconscious for an unknown duration. She was last seen well 12-hours prior to presentation. On exam, she was disoriented and somnolent but arousable to repeated stimulation. Vital signs were remarkable for tachycardia (P = 120 bpm) and hypertension (BP […]