Case Presentation: A 20‐year‐old woman from Honduras presented with a 4 × 3‐cm mass on her left neck that had been gradually enlarging over the past 3 years. The mass was well defined, mobile, and nonerythematous. She had mild tenderness at the site but was otherwise without complaints. She had no history of fevers, chills, night sweats, […]

Case Presentation: A 19‐year‐old woman with a history of sickle cell disease (HgbSC) presented to the hospital with an acute pain crisis. Initial vital signs were stable with normal oxygen saturation. Examination was unremarkable. The patient was admitted and placed on a morphine PCA pump. On hospital day 2 the patient became uncooperative and refused […]

Case Presentation: A 24‐year‐old previously healthy man presented with sudden left‐hand weakness that lasted 6 days before complete resolution. This was followed a week later by simultaneous development of right‐hand and left‐foot weakness and numbness. He denied fever, neck trauma, seizures, headaches, visual disturbances, or incontinence. There was no history of travel, smoking, alcohol, or […]

Case Presentation: A 60‐year‐old white woman with a history of sarcoidosis (remote and in remission), asthma, chronic obstructive pulmonary disease (COPD), and emphysema presented to the emergency department with a 1‐week history of worsening dyspnea, productive cough, fatigue, and a 3‐day history of left‐hand edema. She denied fever, chills, or recent trauma. The patient was […]

Background: Emergency department (ED) access block is rapidly becoming a significant problem for children. ED access block is defined by total ED time > 8 hours because of an insufficient number of inpatient beds and has been linked to ED overcrowding, medical errors, and poor patient outcomes in adult patients; however, the impact of access […]

Background: Complications from venous thromboembolism (VTE) kill more Americans each year than AIDS and breast cancer combined. Despite evidence‐based knowledge regarding the benefits of venous thromboembolism (VTE) prophylaxis in hospitalized medical patients, as well as recommendations from national quality organizations, risk factor screening has not been routinely applied. We aimed to determine if an abbreviated […]

Case Presentation: This is the first case report in the literature of a pediatric patient with psychosis attributed to therapeutic doses of intrathecal (IT) baclofen. We present a case report of a pediatric patient treated with IT baclofen for spastic athetoid quadriparesis, dysphasia, and dysarthria. Two years of maximum doses of oral baclofen failed to […]

Background: Most pediatric patients admitted to inpatient wards require peripheral intravenous (PIV) access for the administration of fluids, medications, or other intravenous therapy. Even though peripheral intravenous insertion can be painful, time‐consuming, and often difficult, it is an essential procedure for most hospitalized pediatric patients and, therefore, should be further studied and understood. Methods: A […]