Case Presentation: A 46–year–old man presented with three days of fever and nonspecific flu–like symptoms. He denied any prior medical history, or additional associated complaints. He noted an upper respiratory infection two weeks earlier, but that this had since resolved. His temperature was 39.3°C, heart rate was 137 bt/min, blood pressure was 106/69 mmHg, and [...]

Case Presentation: A 62–year–old man presented with three weeks of abdominal distension and bilateral pitting edema of the lower extremities. He noted no shortness of breath or chest pain. His urine output was normal, and he noted no other associated symptoms. His sodium level was 129 mmol/L, albumin was 1.1, and prealbumin was 4.6. CT [...]

Case Presentation: A 48–year–old woman presented with six weeks of worsening right upper quadrant pain and lower extremity edema. Associated symptoms included nonbloody diarrhea. She also noted one week of dyspnea while lying flat. Her medical history consisted of osteogenesis imperfecta, hepatitis C, and hypertension. Additionally, she had a recent admission three weeks prior for [...]

Case Presentation: A 25–year–old Caucasian man with no past medical history complained of 3 days of severe bilateral “gnawing” pain in his calves and forearms. It began in his right calf, preceded by 2 h of overlying erythema, and spread to his opposite calf and both forearms, in each case preceded by erythema. He recalled [...]

Case Presentation: A 52–year–old woman with history of systemic lupus erythematosus and end–stage renal disease status post cadaveric renal transplant (2008) presented with three days of a progressive vesicular rash. The rash began in her mouth and spread to her face, body and extremities. Her oral cavity was covered with serous vesicles, erythematous papules, fissures, [...]

Case Presentation: A 22–year–old man, on military deployment, presents to a remote clinic in Central Africa with 2 days of worsening dyspnea on exertion, fever, and fatigue; he denied a cough. His symptoms worsened despite treatment with azithromycin by the field medic. Though a nonsmoker, he had been smoking local cigarettes to stay awake during [...]

Case Presentation: A 30–year–old woman presented with 7 days of intermittent fevers, sweats, and flank pain. She noted nausea, vomiting, and dysuria, and severe headaches for the prior five days, a history of uncomplicated urinary track infections, and a diagnosis of hypertension since age 27, for which she was taking lisinopril. Her temperature was 39.6°, [...]

Case Presentation: Patient is a 4–year–old male with inadvertent intravenous administration of an oral liquid acetaminophen pharmaceutical preparation. He initially presented to an outside emergency center for evaluation of a closed head injury after a fall. He inadvertently received oral acetaminophen suspension by peripheral intravenous line. Immediately after administration, he developed emesis and became cyanotic [...]

Case Presentation: A three–year–old male was transferred to our tertiary care facility with a one week history of vomiting and decreased activity and ongoing worsening mental status after admission to a community hospital for dehydration. A head computed tomography (CT) scan revealed possible enlargement of the third ventricle and a lumbar puncture showed pleocytosis (WBC [...]

Case Presentation: A 48 y/o Cambodian woman with history of immigrating to the US thirty years pta and “cryptogenic cirrhosis” was transferred to our facility with abdominal pain, nausea, and anorexia. PE revealed jaundice, tachypnea, scleral icterus, ascites and splenomegaly. Initial laboratory data was significant for total bili 42.5 mg/dL, direct bili 39.8 mg/dL, AST [...]