Case Presentation: Valproic acid (VPA) is a widely-used medication in various neurological disorders. Although generally well-tolerated, we present a rare complication of VPA therapy inducing pancreatitis. A 49-year-old male with PMH of autism, epilepsy (on VPA), HTN and HLD presented to the ED with complaints of lethargy and pallor. He denied abdominal pain, fever, diarrhea, [...]

Case Presentation: A 33-year-old male with sporadic alcohol use presented with acute epigastric pain. Acute pancreatitis was diagnosed based on abdominal pain, elevated lipase, and imaging findings of pancreatic inflammation. Initial management included intravenous fluids and pain control. During his hospitalization, he developed acute transaminitis. An abdominal ultrasound revealed cholelithiasis without biliary or pancreatic duct [...]

Case Presentation: The following case describes the excessive use of calcium carbonate (Tums) as a cause of recurrent episodes of pancreatitis. A 39-year-old female presented to the emergency department with severe epigastric pain radiating to her back. The pain was exacerbated by oral intake and was associated with nausea, vomiting, and constipation. Her past medical [...]

Case Presentation: A 96-year-old male with a history of type 2 diabetes mellitus, hypertension, coronary artery disease, and recurrent skin malignancies (melanoma and squamous cell carcinoma) presented with acute epigastric abdominal pain radiating to the back accompanied by nausea and anorexia. He had two previous episodes of similar presentation at another healthcare facility. His recent [...]

Case Presentation: 44-year-old male with past medical history of diabetes mellites, hypertension, pancreatitis and hypertriglyceridemia presented to the ED with acute abdominal pain and vomiting. Physical examination was unremarkable other than epigastric tenderness and elevated BMI of 33. Chemistry revealed glucose: 259 mg/dL, bicarbonate: 20 mmol/L, anion gap 19, lipase 1170 U/L, WBC count 15.6K/cc, [...]

Case Presentation: A 29-year-old male with no medical history presented with abdominal pain and diarrhea after a trip to Key West. He described 2 days of constant epigastric pressure and cramping with no relation to food intake or bowel movements, along with 1 night of black, watery diarrhea. He denied fever, weight loss, night sweats, [...]

Case Presentation: A 67-year-old female with a medical history of coronary artery disease, hypertension, and hyperlipidemia presented to the hospital with several days of worsening epigastric pain and chest pain. The pain had a band-like distribution with radiation to her back and no clear aggravating or alleviating factors. She reported chills and one day of [...]

Case Presentation: A 68-year-old male with history of IgG4-related autoimmune pancreatitis presented to the Emergency Department with a one-month history of generalized weakness and a 25 lb unintentional weight loss over the past three months. Labs were notable for elevated lactate (3.4 mmol/L), new thrombocytopenia (platelets 29 ×10^9/L), and a stage II acute kidney injury [...]

Case Presentation: A 31-year-old man with a history of alcohol use disorder (AUD) and recent pancreatitis presented with epigastric pain, nausea, vomiting and migratory joint pain. His initial pancreatitis episode was about 12 weeks prior, with CT and MRCP demonstrating necrotizing pancreatitis. He improved with supportive care but returned 30 days later with acute elbow [...]