Case Presentation: A 48-year-old female with an unremarkable past medical history presented with intermittent, dull, substernal chest pain for several hours, associated with diaphoresis and bilateral arm paresthesia, worse with exertion. Patient’s symptoms improved with sublingual nitroglycerin in the Emergency Department. EKG showed subtle ST-segment elevations inferiorly. Troponin was initially negative at 0.01, trended to [...]

Case Presentation: We present a 25-year-old female with history of antithrombin III deficiency, recurrent PEs and DVTs due to medication noncompliance, currently on therapeutic anticoagulation with Lovenox who presented to the ED with a headache. Patient was recently discharged from an outside hospital 4 days prior after being admitted for chest pain, headache and lightheadedness. [...]

Case Presentation: We present a case of a 41-year-old female with a history of hypertension and anxiety who presented with severe headache, palpitations, and nausea for 1 day. Suspecting it to be a case of migraine, she was given diphenhydramine, ketorolac, and metoclopramide. Immediately after receiving metoclopramide she experienced a tonic-clonic seizure and became tachycardic. [...]

Case Presentation: A 36 year old male with history of schizophrenia, alcohol dependence and remote drug abuse presented to the emergency department with 3 weeks of dry cough without dyspnea, post-prandial nausea, intermittent lightheadedness, dark urine, jaundice and progressive fatigue. He had no recent travel or sick contacts, medications included chronic monthly injections of paliperidone [...]

Case Presentation: Our patient is a 13 year old female with a 3-year history of celiac disease who presented to an outside facility with three days of fever, myalgias and RUQ pain. She had no stool changes, nausea or vomiting. Initial lab work was notable for a lipase of 1100, bilirubin of 4.9, AST of [...]

Case Presentation: A 17yo female with sickle cell disease (SCD; HbSS genotype) presented with pain crisis and acute chest syndrome. She was treated with appropriate antibiotics (ceftriaxone/cefdinir and azithromycin). During the first few days of her hospitalization, she required 2 pRBC transfusions for down trending hemoglobin (Hb) and low reticulocyte count. On hospital day 11, [...]

Case Presentation: A 3-year-old male of Asian descent with a history of atopy and failure to thrive presented with a two-month history of oral ulcers and progressive facial and lower extremity swelling. On exam, he was underweight with weight

Case Presentation: A thirteen-year-old boy with history of asthma presented to an urban pediatric Emergency Department in the Ohio River Valley with a two-week history of severe chest and abdominal pain, sore throat and shortness of air. He had brief improvement on prednisone after evaluation by PMD however on cessation of steroids, his symptoms recurred. [...]

Case Presentation: A 12-year-old boy presents with 8 days of chest pain. He describes the pain as sudden onset, stabbing, located over his left chest with radiation to his right chest and left flank. The pain initially lasts between 5 to 10 minutes, but has been increasing in duration to span the entire day. The [...]

Case Presentation: A 3-year-old previously healthy male was admitted with a five-day history of fevers up to 104 F, decreased oral intake, and decreased activity. He had been seen by his pediatrician on day three of illness, at which time he was noted to have leukocytosis with a white blood cell count of 30,200/µL and [...]