A 21-year-old Spanish-speaking gentleman presented to the emergency department with the chief complaint of abdominal pain. It quickly became apparent that the abdominal pain was not his chief concern and he was most bothered by three days of waxing and waning headache.

Toxicology cases can be some of the more challenging cases that present to the emergency department (ED). Often the patient is altered or there is minimal history available. Many cases involve the combination of more than one toxic ingestion or exposure which can lead to a complex clinical picture.

The patient is a 33-year-old female with a medical history of ADHD and depression presenting with altered mental status. Per emergency medical services (EMS), the patient’s friend called for an episode of unresponsiveness. The patient’s ability to provide history is limited, but the friend reported that shortly prior to this event, the patient ingested a “pill” which he believed to be alprazolam (a medication she is prescribed). While awaiting evaluation, the patient had witnessed seizure-like activity in the waiting room, lasting approximately 30 seconds and was brought to a critical care room.

This patient is a 57 year old female who had no known medical history who presented to the emergency department for visual disturbances…

While dieulafoy lesion is a known etiology of GI bleeding in adults, it is less described in the pediatric population..