Case Presentation: 46-year-old lady with past medical history of polysubstance abuse, seizures, HIV on treatment, mood disorder on quetiapine/valproic acid was brought to hospital by a family member for drowsiness. They reported that she has been drowsy since one week and had history of recent heroin use. Patient intermittently awake could give history of her [...]

Case Presentation: A 19-year-old male with past medical history of well-controlled juvenile myoclonic epilepsy was transferred from a community hospital for management of acute necrotizing pancreatitis. Upon arrival, he was severely hypovolemic and hypotensive, prompting aggressive intravenous fluid resuscitation and initiation of vasopressor therapy. He became obtunded, and was intubated for airway protection. Broad-spectrum antibiotics [...]

Case Presentation: Valproic acid (VPA) is a widely-used medication in various neurological disorders. Although generally well-tolerated, we present a rare complication of VPA therapy inducing pancreatitis. A 49-year-old male with PMH of autism, epilepsy (on VPA), HTN and HLD presented to the ED with complaints of lethargy and pallor. He denied abdominal pain, fever, diarrhea, [...]