Case Presentation: A 22-year-old Hispanic male with PMHx of vaping (since age 11) presented with acute chest pain and dyspnea. He used vaper device with flavored nicotine juice 6 mg/mL (0.6% Nicotine) and contains glycerin and propylene glycol. He vaped heavily (multiple cartridges daily) in the week leading up to admission. The day before, he [...]

Case Presentation: A 34-year-old female with a history of alcohol use disorder presented with severe withdrawal symptoms approximately one hour after receiving her first dose of naltrexone, which was prescribed for the management of alcohol cravings. The symptoms included excessive yawning, anxiety, irritability, tachycardia, generalized muscle cramps, and discomfort. Laboratory investigations revealed a blood alcohol [...]

Case Presentation: A 32-year-old male with a history of alcohol use disorder presented with dull epigastric pain, fever, and chills. Physical examination revealed moderate epigastric tenderness. Laboratory findings included WBCs 14.6×10⁹/L, Hb 12.5 g/dL, INR 1.4, with normal liver enzymes. MRI of the abdomen demonstrated a 6.7×6.6 cm lesion in the right hepatic lobe with [...]

Case Presentation: A 32-year-old female with mast cell activation syndrome, asthma, Ehlers Danlos Syndrome, fibromyalgia, steroid-induced osteopenia and insulin-dependent diabetes presented to an outside hospital with acute on chronic thoracic back pain. There, she underwent kyphoplasty of T4-T7 for thoracic compression fractures and was discharged after a seemingly uncomplicated initial course. She returned 2 weeks [...]

Case Presentation: A 72 year old male with a history of end stage renal disease and chronic positive hepatitis B core antibody since 2020 presented with worsening abdominal pain while undergoing hemodialysis. He was not on any immunosuppressive medications at home. On admission, his vitals were normal. Physical exam revealed scleral icterus and right upper [...]