Alexander J. Scumpia

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A 20-year-old-female presented to the emergency department (ED) with a chief complaint of a persistent dull headache associated with a 7 mm dilated, non-reactive right pupil, and occasional blurry vision for 4 days. The patient had a past medical history significant for Noonan's syndrome (NS). In the ED the patient's physical examination demonstrated normal(More)
We present a case of a 71-year-old male that was involved in a high-speed motor vehicle collision, as an unrestrained back seat passenger. On primary survey, decreased breath sounds and bowel sounds were auscultated in the left thorax. Secondary survey was positive for left anterior chest wall tenderness. Chest radiograph demonstrated multiple rib(More)
Blood vessels and nerve fibers often course alongside one another in an orderly fashion throughout the brain. This clustering gives rise to a reciprocal signaling network between endothelial and nerve cells that follows highly stereotyped anatomical patterns. One such molecular signal that is produced by endothelial cells and acts on surrounding neurons is(More)
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