Case Presentation: A 3‐year‐old boy with PDD, keratosis pilaris, and gingivitis presented to a New York City ED with limping after a fall. Initial evaluation was negative for fracture, and he was discharged with follow‐up and prescribed amoxicillin for a “gum infection.” The limp continued for 3 weeks and later was associated with low‐grade fever. […]

Case Presentation: An 18‐year‐old man with a history of GERD transferred to our institution from an outside hospital for evaluation of refractory nausea, projectile bilious emesis, and abdominal pain. He had been in his usual state of health until 10 days prior to admission, when after eating out, he experienced this constellation of symptoms. On […]

Case Presentation: A 58‐year‐old Laotian man with a medical history of diabetes mellitus, hypertension, and asthma presented with confusion, fever, and a rash. Review of systems was remarkable for abdominal discomfort in the preceding days without change in bowel habits. He had emigrated from Laos in 1979 and had no recent travel history. His vital […]

Case Presentation: A 66‐year‐old woman presented with 3 days of shortness of breath. He also reported a productive cough, fever, and chills. Prior to 3 days the patient reported no dyspnea and reported excellent exercise tolerance. Reported improvement with albuterol and worsening with laying flat. She denied any sick contacts. She had a medical history […]

Case Presentation: A 6‐year‐old girl presented to an outside ED with 2 days of fever (Tmax 104°F) and vomiting. She had recently returned from a 2‐year stay in Sierra Leone 2 weeks prior to admission. Physical exam was unremarkable. Laboratory studies were significant for mild anemia and mildly elevated LFTs. A blood smear revealed Plasmodium […]

Case Presentation: A 17‐year‐old Korean female presented to the emergency department with a 6‐month history of intermittent dizziness and bilateral vision loss with activity. She described loss of vision as whiteness for 30 seconds on standing, activity, or exertion. She was evaluated by her PCP and was diagnosed with iron‐deficiency anemia 2 months ago. She […]

Case Presentation: A 73‐year‐old man with a history of hypertension was admitted for the evaluation of progressive, generalized weakness and fatigue of several months' duration. Aside from significant weight loss and lack of appetite, the patient denied other focal complaints including fever, chills, night sweats, cough, history of smoking or tuberculosis exposure, abdominal pain, dizziness, […]

Case Presentation: A 41‐year‐old woman with a medical history significant for gastroesophageal reflux was admitted for atypical chest pain and dyspnea on exertion for 2 months. She also reported recent low‐grade fevers, drenching night sweats, anorexia, and a 25‐pound weight loss. The patient initially received antibiotic therapy but did not respond. Physical exam was unremarkable […]

Case Presentation: A 54‐year old African American man with history of dialysis‐dependent renal failure secondary to diabetes, presented with a large, painful swelling in his right buttock. Three years ago, his primary physician noted it as a small soft‐tissue calcification that has progressively increased in size until it was impairing his ability to walk, sit, […]

Case Presentation: A 30‐year‐old African American woman with an unremarkable medical history presented to the emergency room with 14 days of progressive sore throat, high fever, malaise, voice changes, and dysphagia to solids. Positive findings on examination include sinus tachycardia 140 per minute, dry oral mucosa, and erythema in the left tonsillar pillar. There was […]