Case Presentation: A 36-year old male with a history of paraplegia secondary to a motor vehicle accident and long-standing polysubstance abuse presents to the ED for worsening facial wounds that first appeared two years ago. The patient states the most recent lesion on the upper back appeared two months ago and was preceded by cocaine […]

Case Presentation: A 61-year-old male with a history of alcohol abuse and Insulin-dependent diabetes mellitus presented with complaints of retrosternal chest pain and multiple bouts of coffee-ground emesis for three days. He reported a three-day binge of drinking vodka prior to the presentation. On examination, he was tachycardic, tachypneic, but normotensive. Hand and tongue tremors […]