Case Presentation: A 32-day-old full-term male presented to his physician (PCP) for constipation, oral thrush & poor feeding. Mother reported that the infant had been active and feeding well until 6 days prior to presentation. He was seen by his PCP at that time for oral thrush and prescribed a course of Nystatin. He was [...]

Case Presentation: A four-year-old boy with a history of non-verbal autism was admitted with one week of progressive bilateral lower extremity weakness and pain. Past history was significant for a diarrheal illness 1 month prior. Exam findings included poor dental hygiene, gingival hypertrophy with ecchymosis and bleeding, intact reflexes and 3/5 lower extremity strength. Labs [...]

Case Presentation: A 15 year-old female with obesity presents to the hospital with vomiting, headache, and decreased responsiveness. Prior to arrival she had about 10 episodes of non-bloody vomiting, after which she had altered consciousness. She denied any diarrhea, dysuria, blood in stool, and vaginal bleeding. She denied bleeding and bruising easily. No recent consumption [...]

Case Presentation: A previously healthy 8-month-old infant presented with poor weight gain, edema, and hypotonia. Vital signs were notable for heart rate 126, blood pressure 58/32, respiratory rate 32, and temperature 36.1C. Mucous membranes were dry with capillary refill of 3-4 seconds and edema of all extremities. He had decreased muscle tone, minimal spontaneous movement, [...]

Case Presentation: A three-month-old previously-healthy girl presented with one week of progressively poor breastfeeding due to a weak latch along with decreased activity level and urine output. Her last bowel movement was 4 days prior to admission which had been her baseline for 1-2 months. She had no recent fevers, illnesses, or exposures. Her family [...]

Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma [...]

Case Presentation: A 17-year-old previously healthy female presents with abrupt-onset fever and rash after returning from Thailand. The rash started the day of admission on her thighs bilaterally, and rapidly progressed cephalad to her trunk and face. She also complained of headache, back pain, neck pain, and left wrist pain. The patient was hemodynamically stable [...]

Case Presentation: A 20-year-old male with bicuspid aortic valve s/p aortic valvuloplasty and aortic insufficiency presented with 2 months of cough and intermittent lower extremity edema. On initial exam, temp was 100.7ºF, BP 107/40 mmHg, HR 92 bpm. He had a harsh 2/6 systolic ejection murmur over the rightupper sternal border and a 2/6 diastolic [...]

Case Presentation: We report a case of suspected sevoflurane hepatotoxicity in a 13-month-old male with repeated sevoflurane exposure. Prior to presentation, he was given sevoflurane as an inhaled anesthetic for 3 separate procedures related to Gtube removal and subsequent fistula and abscess formation. On presentation, he was found to be jaundiced and had scleral icterus. [...]

Case Presentation: A previously healthy 17 year old man presented to the emergency room with complaints of progressively worsening palpitations, associated dyspnea and chest pain. He had presented two years earlier with a similar complaint and was found to have a heart rate (HR) 200 beats/min, with K 2.8 mmol/L and Cr 0.8 mg/dL with [...]