Background: In the US, Marijuana is the most used substance, with 18% of the population having tried it at least once. Its use is steadily increasing and stands at a staggering 43% amongst college-aged adults. Marijuana has been known as a self-coping means for anxiety. The recent increase in marijuana use and its effect on [...]

Case Presentation: Introduction: Tracheal tumors commonly arise as metastasis from neighboring thyroid, esophageal, laryngeal or lung tumors. Primary tracheal tumors are extremely rare with an incidence of 1 in 1,000,000 persons per year. Often presenting with non-specific symptoms, diagnosis is difficult. Case Report: A 59-year-old Caucasian male with a history of marijuana abuse, arterial thrombosis, [...]

Case Presentation: An 18 year male presented to the ED with complaints of 48 hours of chest pain radiating towards the neck associated with a sensation of fullness of the upper chest.  He began a vigorous bench pressing regimen about two weeks prior to admission (PTA) with last session 5 days PTA. History is remarkable [...]

Case Presentation: A 54 year old woman with history of substance abuse(cocaine and recent synthetic marijuana use) presented to the emergency room with complaints of sudden onset, severe left upper and lower quadrant abdominal pain. Pain started at night waking her up from her sleep. Complete blood count showed microcytic anemia with hemoglobin of 8.4. [...]

Case Presentation: A 79-year-old woman was found minimally responsive in her home and brought to the hospital for evaluation. On arrival, she was bradycardic (32/min) and hypotensive (75/40) without fever, tachypnea (16/min), or oxygen needs (98% room air). Her initial exam was notable for somnolence, conjunctival injection with normal pupils, dry oral mucosa, slightly cool [...]

Case Presentation: A 22 year-old African American male college student presented with acute abdominal pain radiating to the right flank with associated fever, dark urine, and nonbilious nonbloody vomiting. There was no dysuria or change in bowel habits. Medical history was notable for nephrotic syndrome due to biopsy-proven minimal change disease diagnosed at age 17, [...]

Case Presentation: 28-year-old male with past medical history of recent nephrolithiasis presented with lower back pain, hematuria and upper extremity ecchymosis of 1 week duration. He denied any history of bleeding disorders, ingesting any anticoagulants, recent infections or drug usage. Upon work up, patient was found to have an INR (International Normalized Ratio) of > [...]

Case Presentation: A 24-year-old gentleman gentleman presented to the emergency room complaining of left precordial discomfort and syncopal event at work. His system review was negative. He acknowledged using marijuana with the last usage being the morning of presentation. His initial EKG revealed sinus bradycardia (Figure A). His preliminary blood work revealed normal chemistry, TSH. [...]

Case Presentation: A 25-year-old man with a past medical history of sickle cell disease was transferred to our hospital for seizure-like activity and acute renal failure. Computed tomography (CT) head was unremarkable, urine drug screen was negative, and triage labs were significant for white blood cell count (WBC) of 20.7 cells/liter and an elevated creatine [...]

Case Presentation: 17 year old female with history of severe persistent asthma, allergies, and chronic marijuana use presents with one month of worsening dyspnea, cough, and chest pain, after treatment for left lower lobe pneumonia and asthma exacerbation.She was afebrile, tachycardic, tachypneic, but saturating well on room air. Lung exam had diminished breath sounds at [...]