Background: In utero opioid exposure can result in neonatal abstinence syndrome (NAS). NAS incidence has increased five-fold in the last decade. NAS is a serious condition characterized by central nervous system hyperirritability and autonomic nervous system and gastrointestinal tract dysfunction. Newborns with NAS may have several potential complications, may require pharmacological management, have increased hospital [...]

Case Presentation: A previously healthy 8 month old female presented to the emergency department (ED) with diarrhea and an unusual diaper rash. Her symptoms began 6 days prior to presentation with fever and congestion. She was initially diagnosed with a viral upper respiratory infection and bilateral otitis media and was prescribed cephalexin. She later developed [...]

Case Presentation: A 65-year-old man presented with anasarca and dyspnea on exertion that progressively worsened over three weeks. He had no known cardiac, renal, or liver disease prior to presentation. Physical exam revealed elevated jugular venous distention, bibasilar crackles, tense ascites, scrotal edema, and pitting edema in bilateral lower extremities extending to the abdomen. Investigation [...]

Case Presentation: A 55-year-old man with type 2 diabetes mellitus, metastatic renal cell carcinoma to brain and bone despite left nephrectomy and multiple cycles of chemotherapy and recent immunotherapy with nivolumab presented 3 weeks post whole brain radiation treatment (WBRT) with 4 days of right arm pain and swelling. He visited upstate New York prior [...]

Case Presentation: A 79-year-old male with metastatic prostate cancer status post multiple systemic agents presented with recurrent episodes of epistaxis with associated anemia and fatigue. The patient had a pertinent history of multifactorial CKD stage III. He was diagnosed with a left nasal polyp which required polypectomy. Despite removal of the polyp, the patient continued [...]

Case Presentation: A 67-year-old Japanese man was brought to our hospital because of a headache. He had noticed his headache and retroorbital pain four days before and they had been getting worse gradually. Subsequently, he noticed double vision and left drooping eyelid in the morning of the day before his first visit. He did not [...]

Case Presentation: A 42-year-old Vietnamese-American gentleman presented to the Emergency Department with generalized fatigue and intermittent dark urine for 1 week and fever, chills, vomiting and loose black stools for 1 day. He denied any rash, joint pain, strenuous exercise, recent travel or trauma, new medications or supplements and tick or mosquito bites. There was [...]

Case Presentation: This is the case of a 69 year old woman with a history of diabetes and peripheral arterial disease who presented with eye pain for two days prior to admission. Of note, she was recently admitted to the hospital for a left foot infection requiring amputation; her hospital course was complicated by MRSA [...]