Case Presentation: A 1‐year‐old girl with multiple medical problems including trisomy 18, tetralogy of Fallot, and gastroesophageal reflux presented with a 3‐week history of fever and irritability. In addition, she had had several weeks of feeding intolerance and weight loss. Initial examination revealed a small, irritable, dysmorphic child with a holosystolic heart murmur. Abdominal examination […]

Case Presentation: A 64‐year‐old retired shrimper with hypertension, hyperlipidemia, gout, and nonalcoholic steatohepatitis (NASH) with stage 3 fibrosis, presented to the emergency department with fever and vomiting. He had spent the day on his boat and had eaten shrimp for dinner prior to developing nausea, vomiting, shaking chills, and fever. He denied diarrhea, abdominal pain, […]

Case Presentation: A 21‐year old man had been admitted to the ICU for a 30% burn injury incurred in a house fire and explosion. He underwent excision and skin grafting and was receiving 60‐100 mg of morphine a day via continuous infusion and intermittent boluses. The patient was extubated but was unable to effectively feed […]

Case Presentation: A 59‐year‐old man presented to the emergency department with new‐onset right testicular pain in the setting of back pain and abdominal distention. After evaluation by his primary care physician 2 weeks prior, he was diagnosed with musculoskeletal back pain that was minimally controlled with ibuprofen. He described the testicular pain as a constant, […]

Case Presentation: A 5‐day‐old male infant born after 38 weeks' gestation presented to the emergency department with hyperbilirubinemia (total bilirubin level 29.8 mg/dL) and anemia (hemoglobin 10.6 g/dL). His other blood indices were normal (white blood cells 10,400, platelets 177,000). On initial exam, he was noted to have ecchymoses around his left eye and left […]

Case Presentation: A 74‐year‐old white man with end‐stage renal disease, diabetes mellitus, coronary artery disease, congestive heart failure, and S/P pacemaker placement was admitted to the hospital with a chief complaint of painful red eyes bilaterally. The patient had been treated for 2 methicillin‐resistant Staphylococcus aureus (MRSA) permanent catheter (permcath) infections in the past 4 […]

Case Presentation: An 83‐year‐old‐active white man with a medical history of hypertension and osteoarthritis and 1‐month history of low back pain presented to the emergency department with a right intertrochantericfemurfracture. He underwent emergent open reduction and internal fixation (ORIF). On postoperative day 1, the patient developed generalized, myotonic jerky movements associated with hypoxia and unconsciousness […]

Case Presentation: An 81‐year‐old frail man (weight 99 lb) with a medical history significant for chronic obstructive pulmonary disease, lower‐extremity deep venous thrombosis (on warfarin), hypertension, and recent left hip replacement was undergoing rehabilitation and had a witnessed aspiration episode requiring the Heimlich maneuver. The foreign body was successfully expelled with resumption of spontaneous respirations. […]

Case Presentation: A 40‐year‐old blind woman presented with progressively altered mental status 1 week after an emergency department visit for a “viral URI.” PMH was significant for giant optic glioma, anxiety, neurodermatitis, and mild mental retardation. She had a low‐grade fever of 99.3, was awake but nonverbal, and followed only very simple commands. Strength was […]

Case Presentation: A previously healthy 54‐year‐old man presented with a history of fever, sore throat, myalgias, worsening lethargy, diarrhea, and epistaxis. The patient had traveled to Mount Calazano, Italy, and England the month before admission and was an avid birdwatcher who frequently visited wooded areas. He was brought to the emergency room agitated and confused. […]