Case Presentation: A 24-year-old man with a past medical history of mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS), malnutrition status-post percutaneous endoscopic gastrostomy (PEG) tube placement, and superior mesenteric artery (SMA) syndrome presented to the hospital with generalized tonic-clonic seizures and severe lactic acidosis. His seizures were treated with levetiracetam, and his lactic [...]

Case Presentation: A 23-year-old male with past medical history of anxiety disorder presented with nausea and multiple episodes of vomiting for 2 days. He also had generalized abdominal pain that was cramp-like in nature. There was no abdominal distention, however the patient reported constipation. He passed flatus during this episode. Noteworthy was the patient’s 10 [...]

Case Presentation: A 24-year-old woman presented to the hospital with “5 weeks of hell” from a sharp right upper quadrant and rib pain, nausea, and daily episodes of diarrhea and bilious emesis. She lost 16 lbs over this time, putting her BMI at 17.4. Initially, her labs and imaging from multiple visits to the ED [...]

Case Presentation: Superior mesenteric artery syndrome is a rare condition characterized by symptoms resulting from vascular compression or obstruction of third part of duodenum in the angle between the aorta and the superior mesenteric artery. It has an estimated 0.013–0.3% prevalence (1) Discussion: A 30-year-old woman presented to the emergency department with epigastric abdominal pain, [...]

Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to [...]