Case Presentation: A 15-year-old previously healthy female presented with 2 days of fatigue and 1 day of vomiting, watery diarrhea, and dark urine. Labwork revealed a hyponatremic, hypokalemic metabolic acidosis with acute kidney injury. Despite copious electrolyte and fluid resuscitation, her diarrhea persisted, with stool output peaking at 14 liters per day. She exhibited severe [...]

Case Presentation: A two-day old exclusively breastfed male born at term (no prior medical history; routine prenatal care) was discharged at 36 hours of life from the nursery, 5% down from birth weight. He had difficulty latching to feed post discharge and at 45 hours of life, presented to an outside emergency room in cardiorespiratory [...]

Case Presentation: A 20-day-old female former full-term, appropriate for gestational age infant presented to the pediatrician’s office for her first checkup. She was born via uncomplicated vaginal delivery following a normal pregnancy and had normal newborn screening results. She was exclusively breastfed. She was found to be 27% below birth weight and was therefore urgently [...]

Case Presentation: A 15-year-old male with autism spectrum disorder (ASD), depression, and anxiety presented to the emergency department (ED) with aphasia, agitation, and unusual gait. His mother reported stuttering, decreased oral intake, and difficulty with daily activities. He visited the ED for similar symptoms over the past few months. His outpatient provider trialed lorazepam, which [...]

Case Presentation: 7-year-old male with asthma presented with an 8-month history of knee, hip, buttock, and back pain. Pain was worse in the morning and made it difficult for the patient to get out of bed. He was initially referred to physical therapy (PT) by his pediatrician. Pain worsened despite PT, and he was referred [...]

Case Presentation: An 8-year-old boy presented with 8 days of lip swelling, crusting, peeling, and bleeding, causing poor oral intake and dehydration. Initial symptoms included cough, nasal congestion, and fever (100.4°F). He developed lip ulcerations and was seen multiple times with diagnosis of oral herpes and impetigo superinfection. After 4 days of adequate herpes/impetigo therapy, [...]

Case Presentation: A healthy 21-year-old female presented to the children’s hospital with a one-week history of worsening bilateral calf pain, unilateral right lower extremity (RLE) swelling, and cool extremities. Symptoms began after a 12-hour work shift, accompanied by a diffuse erythematous papular rash and intermittent asymmetric joint pain. Her medical history included streptococcal pharyngitis treated [...]

Case Presentation: An 8-year-old female with a history of Guillain-Barre syndrome (GBS) presented with chronic weight loss and constipation for seven months. Exam revealed a small for age, developmentally delayed female with aphasia, inability to ambulate, and a distended but non-tender abdomen. CBC revealed normocytic anemia (Hgb 11.1) and iron deficiency. Additional laboratory testing showed [...]

Case Presentation: 17 year old female with no medical history presented with malaise. Labs were WBC 3.78 with normal differential, a microcytic anemia 7.1, platelets 7, and uric acid 10.6. On admission, she was found to have epistaxis, conjunctival hemorrhage, and hemoptysis. She required escalation to high flow nasal cannula. Chest x-ray was concerning for [...]

Case Presentation: A previously healthy, vaccinated 9-year-old female on amoxicillin for recent Group A strep pharyngitis presented to the emergency department with a 10 day history of daily fevers and severe right lower quadrant abdominal pain limiting her ambulation and activity level. She denied any headaches, nausea, vomiting, hip pain, knee pain, or traumatic injuries. [...]