Case Presentation: Anti-NMDA Receptor Encephalitis is an uncommon diagnosis disguised behind the more common chief complaint of altered mentation. Although treatment options have been established for this disease, management of its behavioral manifestations remains complex. Here we discuss a 13-year-old female who presented with acute-onset altered mental status and atypical behavior. At symptom onset, a […]

Case Presentation: An eight-year-old girl presented with acute onset of dragging her left foot that quickly progressed to left sided hemiplegia with confusion and decreased vocalization. She had episodic hematochezia and abdominal pain for 6 months prior and was hospitalized for rehydration secondary to these symptoms one week before presentation.Her temperature was 38.2C with blood […]

Case Presentation: The patient is admitted after an episode of unresponsiveness and tremulousness at home. At an outside hospital, the patient was found to be hypertensive, tachycardic, tachypneic, with muscle stiffness and flexed posture. He was given lorazepam and cyproheptadine, which seemed to help his symptoms. He was transferred to the PICU, at which point […]

Case Presentation: A 15-year-old female was referred to the hospital by her urologist for persisting urinary retention and bladder distention concern. The patient endorsed 5 months of increased urgency and decreased frequency of urination, as well as a decreased amount during each void. She denied dysuria, gross hematuria, incontinence, or history of UTI. She had […]

Case Presentation: A 19-year-old man with past medical history of recently incompletely treated H. pylori presented to the ED with severe abdominal pain, nausea, and vomiting for 20 days. Vital signs were normal, and physical exam was unremarkable. CT abdomen/pelvis showed diffuse gastric wall thickening with mucosal enhancement and mesenteric, gastrohepatic ligament, and para-aortic adenopathy. […]

Case Presentation: Case 1: A 3-year-old female with no significant past medical history presented with a 5-week history of recurrent fevers as well as bilateral lower extremity pain with difficulty to ambulate. Imaging of the femur revealed focal lucencies in the proximal femoral shaft. The leading diagnosis at admission was malignancy given the length of […]

Case Presentation: A 17-year-old male presented with 4 days of shortness of breath, fatigue, tachypnea, chest pain, diffuse abdominal pain, and poor appetite. Labs notable for a negative COVID PCR,WBC 17, ferritin 938, lactic acid 2.2, LDH 613, CRP 40.3, procalcitonin 1.08, and THC positive. Multisystem Inflammatory Syndrome in Children (MIS-C) workup resulted negative COVID […]

Case Presentation: An 11-year-old boy with a history of mesenteric adenitis and appendectomy presented for abdominal pain two days after bruising his left flank by running into a countertop. ROS was positive for a new rash on the soles of his feet, recently noticed bubbles in urine, headache, and nausea, but negative for facial rash, […]

Case Presentation: A 21-month-old previously healthy female presented with nine days of fever. Parents endorsed hand and feet swelling, and a red rash that resolved prior to presentation. She was fussy and had cracked lips. Labs were notable for C-reactive protein (CRP) of 18.52 mg/dL, erythrocyte sedimentation rate (ESR) >130 mm/hr, WBC 17.3 x 109/L, […]

Case Presentation: A 2-year-old male, with no significant past medical history, presented to a tertiary children’s hospital with a 3-day history of fever and cough. Associated symptoms included chills, fatigue, and acute onset shortness of breath. Parents denied recent travel or sick contacts. Initial exam was significant for decreased breath sounds in the right lower […]