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 48-year-old female with no significant medical history presented to an outside hospital with epigastric pain of 3 weeks duration. The pain was constant and severe, associated with nausea, vomiting and a 20 lb. weight loss. Serum lipase was elevated at 1135 U/L (nl 8-78). An Abd US revealed multiple hepatic lesions without [...]