Case Presentation: 48-year-old female with past medical history of cirrhosis secondary to HBV (on entecavir) and EtOH, decompensated by hepatic encephalopathy and ascites, coronary artery disease s/p stenting to LAD in 2009 presented to the hospital with abdominal pain and distension for a 1-week duration. She stated that the pain radiated to her back and […]

Case Presentation: A 19 year old male with occasional marijuana and alcohol use, presented to an outside hospital with abdominal pain, nausea, vomiting, and facial flushing that developed 18 hours after he consumed 7.5g of niacin in less than 48 hours. Patient had smoked marijuana less than two weeks ago and none of his other […]