Medical Knowledge

Substance Use Disorder in Postpartum Patients

Postpartum is a stressful time for this high-risk population as relapse rates are high and pain tolerance is low. Special considerations should be given to pain control, sedation risk, breastfeeding, contraception, and safe transition of the newborn to extrauterine life….

Substance Use Disorder in Pregnancy, Part 2

In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with opioid use disorder are unintended. During pregnancy, chronic untreated substance and…

Substance Use Disorder in Pregnancy, Part 1

In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with substance use disorder (SUD) are unintended. During pregnancy, chronic untreated substance…

Transient Monocular Blindness in a Man in His 30s

This case report discusses a diagnosis of giant ascending aortic aneurysm in a patient who presented with transient monocular blindness and no cardiovascular symptoms.

An Atypical Optic Nerve Head Mass

A 47-year-old man presented with a sudden decrease in vision in the right eye and a history of binocular diplopia, bilateral cranial nerve 6 palsies, and an undifferentiated pontine mass. Examination revealed a large optic nerve head mass with optic…

Older Woman With Proptosis, Ptosis, and Blurred Vision

A woman in her early 70s with a history of coronary artery disease, hypertension, and colon polyps presented to oculoplastic surgery with 1 week of progressive right-sided proptosis, headache, right eyelid ptosis, and blurry vision. Outside magnetic resonance imaging demonstrated…

Mal de Meleda

This case report describes diffuse waxy palmoplantar hyperkeratosis in a symmetrically well-demarcated “gloves and socks” distribution with nail dystrophy.

Possible Digoxin-Related Toxic Effects in a Patient

This case report describes a patient in their 70s with hypertension and heart failure presenting to the emergency department with chest discomfort, nausea, anorexia, and weakness.

Favre-Racouchot Syndrome

This case report describes multiple solitary open black comedones located bilaterally on the malar cheeks and temples as well as yellowish, smooth-surfaced papulonodular lesions in close association with the comedones.