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 [...]

Background: Neonatal abstinence syndrome (NAS) occurs when an infant is exposed to licit or illicit chemical substances in utero and manifests symptoms of withdrawal from the substance(s) after birth. NAS is a clinical diagnosis, but is generally confirmed with testing of infant urine and/or meconium to identify specific causative substances. Appropriate identification, documentation, and communication [...]

Case Presentation: A 46-year-old female with a history of amphetamine abuse, depression, and hypertension presented to the ED for acute onset of bilateral lower extremity weakness and urinary incontinence. She denied other associated symptoms. The patient’s neurologic exam was notable for symmetrically decreased lower extremities motor strength and reflexes to 2/5, decreased sensation below L1, [...]

Case Presentation: This is a 52 year old Hispanic male with a history of bioprosthetic aortic valve replacement four years prior who presented with chest pain and abdominal pain. The patient was recently treated for aortic valve endocarditis with long-term intravenous antibiotic therapy lasting six weeks. The patient admitted to a one month history of [...]

Background: Neonatal abstinence syndrome (NAS) occurs when an infant is exposed to chemical substances in utero and consequently withdrawals from the substance(s) after birth. The long-term impact of NAS remains unclear due to confounding by other factors that impact infant health and development, but literature suggests that infants with NAS have motor and cognitive delays [...]

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 [...]

Background: Neonatal abstinence syndrome (NAS) occurs when a neonate is exposed to licit or illicit chemical substances in utero and manifests withdrawal symptoms postnatally. Appropriate identification, documentation, and communication of NAS diagnosis is needed to qualify for federally funded therapies aimed at supporting development through early intervention (EI) programs. Our objective was to assess characteristics [...]

Case Presentation: Patient is a 15 yo boy with PANDAS, epilepsy, ADHD, and developmental delay presented with 9 days of decreased ambulation, abdominal pain, headache, and fatigue. Initially, his symptoms were attributed to recent fall and recent IVIG infusion. However, the patient then developed anorexia, weight loss, and aggressive behavior prompting admission. On exam, he [...]