Case Presentation: A healthy five-year-old girl was admitted from Ophthalmology Clinic for evaluation of bilateral anterior uveitis, fatigue and weight loss. History was notable for a cat scratch to the right eye one month prior which had prompted the referral to Ophthalmology Clinic. Patient also reported fatigue, night sweats, intermittent headache, poor oral intake, and [...]

Background: The Michigan PICC-DVT Risk Score (MRS) identified five predictors for deep venous thrombosis (DVT) associated with peripherally inserted central catheters (PICCs): presence of another central venous catheter (CVC) when device is placed, white blood cell (WBC) count at time of insertion, active cancer, number of catheter lumens, and history of venous thromboembolism (VTE)1. We [...]

Case Presentation: Our first patient is a 75-year-old female with a history of hypertension, type 2 diabetes, hypothyroidism, rheumatoid arthritis, chronic kidney disease stage III, FSGS, and fibromyalgia who presented with a one-week history of midsternal chest pain, dyspnea on exertion, decreased exercise tolerance and epigastric discomfort. Vital signs were notable for tachypnea (22 bpm) [...]

Case Presentation: We present a unique case of a 37-year-old male with a recently diagnosed case of monkeypox three weeks prior and completion of Tecoviramat; who at initial presentation was thought to have an infected arteriovenous fistula (AVF) from a pox lesion likely with an abscess or necrotic process. He had a PMHx of HIV [...]

Case Presentation: A 62-year-old male with a history of Parkinson’s disease presented with worsening left leg pain and swelling for approximately one month. The patient denied any history of immobility, recent travel, malignancy, or history of blood clots or thrombophilic disorders. Physical exam was remarkable for massive abdominal distention and marked swelling of the entire [...]

Case Presentation: 73 years old Caucasian female with a remote history of hysterectomy, and cesarean section presented with new left leg swelling and pain that began the previous day. She described the pain to be throbbing, localized, 8/10 in intensity, continuous, and not responding to ibuprofen. She denied any personal/family history of clots, recent travel, [...]

Case Presentation: A 7 year-old with hypohidrotic ectodermal dysplasia (ED) and recurrent sinusitis was admitted with diplopia, headaches, and fevers. In the preceding 2 months, he had multiple episodes of fever, nasal impetigo, and positive group A strep (GAS) throat swabs without pharyngitis. He was treated twice with azithromycin due to allergies to amoxicillin, cephalosporins, [...]

Case Presentation: A 21-month-old girl was brought to the emergency department for acute, severe right arm and leg weakness. She was unable to stand, appearing pale and fatigued. Labs were notable for hemoglobin (Hgb) of 3.5 g/dL, leukocyte of 19.7×103/µL, platelet of 340×103/µL, absolute reticulocyte of 6.4×103/µL, and MCV of 49 fL. Microcytic anemia and [...]