Case Presentation: An 8 year-old male presented with one week of acute ataxia. Physical exam was significant for a wide-based gait and a mild left sixth nerve palsy. A lumbar puncture (LP) was performed and revealed an opening pressure >35 cm H2O. After the elevated opening pressure was found, a dilated funduscopic exam was performed […]

Case Presentation: 3yo male, with a history of presumed bacterial meningitis, was admitted with concern for recurrent meningitis. He was brought to the emergency department due to fever, headache, and vomiting for one day. He had sensorineural deafness due to previous meningitis. On exam he was febrile and mildly ill-appearing but non-toxic. He had nuchal […]

Case Presentation: Rumination Disorder Presenting as Severe Malnutrition Discussion: Psychiatric and developmental disorders often contribute to acute illnesses requiring hospitalization. Specifically, autistic patients often experience restricted and stereotyped behaviors that can lead to impaired nutrition. A 17 year old male with a past medical history of autism, developmental delay, and scoliosis was brought to the […]

Case Presentation: A previously healthy two-year-old girl from southeastern Kentucky presented with pallor. She took no medications. Upon review of her diet, she was consuming nearly a gallon of whole milk daily. She enjoyed playing outdoors barefoot with several dogs and had been eating chalk, dirt, sand, and pieces of coal over the past year. […]

Case Presentation: A 7-day-old female born at 37 WGA presented with continued jaundice since birth.  Pregnancy was complicated by maternal preeclampsia requiring early induction of labor.  Both parents’ blood types were A+ and the mother had a negative antibody screen six months prior to delivery.  There was no history of maternal blood transfusion or antenatal […]

Case Presentation: A 7-year-old female with two weeks of morning headache presented to a north-midwestern hospital with one day of neck pain and fever. She had an episode of emesis but denied sick contacts, head trauma, or diarrhea. Exam revealed nuchal rigidity and irritability but no papilledema, focal neurologic al findings, or rash. Lumbar puncture […]

Case Presentation: A 2 day old Hispanic girl was admitted to the hospital for total bilirubin of 9.68 mg/dl with elevated direct bilirubin at 1.98 mg/dl, 21% of total. She was born full term, normal spontaneous vaginal delivery; the mother had an uneventful pregnancy. The mother was blood type A+, the child B + with […]

Case Presentation: A 16 year old, previously healthy male, presented with a four day history of enlarging left inguinal mass. The patient initially reported falling off a scooter with a handlebar injury to his left groin three weeks prior to admission. Symptoms began with a “small bump” in the groin that rapidly grew in size. […]

Case Presentation: A 9 yo previously healthy WF presents with a 5-day history of progressive fatigue and pallor. She was admitted from her primary care doctor after she was found to have a POC Hgb of 4 in the office. She denies bloody stool/emesis and has not started menstruating. She is a picky eater overall, […]

Case Presentation: A 3-year-old girl initially presented to the Emergency Department with 5 days of fever, rhinorrhea, and cough.  She was presumed to have a viral upper respiratory illness and was discharged.  Over the next three days, patient continued to be febrile now with refusal to move her lower extremities, resulting in her re-presentation. Vital […]