Case Presentation: A 30-year-old male with history of illicit drug abuse presents with refractory ventricular tachycardia (VT) and Torsades de Pointes (TdP). He was previously in a methadone program but was dismissed due to methadone abuse. He then started significant amounts (144 tablets; 288 mg) of loperamide to achieve euphoria. He presented to the ED [...]

Case Presentation: A 37 year-old woman with a past medical history of depression and chronic knee pain presented with complaints of two day duration non-radiating 8/10 epigastric and lower abdominal pain associated with nausea and vomiting. Vitals sings were normal. Abdomen was soft, non-distended with generalized tenderness, but without masses, rebound, or guarding. Lipase was [...]