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: A 9-year-old female was admitted to a community hospital for intravenous antibiotic treatment of a purulent draining wound on her left shin (Image 1), which had worsened despite completing a 5-day course of oral clindamycin. An ultrasound of the wound showed a 0.8 cm complex hypoechoic collection, prompting urgent incision & drainage for [...]

Case Presentation: An 80-year-old male with a history of collagenous colitis, hypertension, type 2 diabetes, microcytic anemia, exocrine pancreatic insufficiency, severe malnutrition, and vitamin D deficiency presented with weakness, chronic diarrhea, and significant weight loss (~100 lbs in one year). He had 5-7 non-bloody stools daily, unresponsive to colestipol and loperamide, accompanied by abdominal bloating [...]

Case Presentation: A 56-year-old M was admitted in Rhode Island with abdominal pain, malaise, and copious loose, bloody stools for 9 days after recurrent ED and outpatient visits for the same symptoms. His diarrhea had worsened despite outpatient amoxicillin-clavulanate, and he was sent back to the ED by GI due to hyponatremia (Na 129) and [...]

Case Presentation: A 63-year-old female with a past medical history of stage III breast cancer status post double mastectomy in 2017 with bilateral implants presented to the emergency department for left breast implant rupture and dehiscence. She was started on broad spectrum antibiotics with Vancomycin and Zosyn and was later switched to Meropenem. Chest CT [...]

Case Presentation: A 49-year-old man with a history of ulcerative colitis presented to the emergency department (ED) with progressive symptoms of fever, myalgias, night sweats, and diffuse abdominal pain. He recently completed a course of ciprofloxacin, metronidazole, and prednisone after developing fever following his infliximab infusion. In ED, his physical exam was unrevealing. Laboratory results [...]

Case Presentation: A 37-year-old female presented to urgent care for one month of bloody bowel movements, approximately 30 each day with accompanying tenesmus, night time accidents, urgency, mild weight loss, and some fatigue. She had no extra-intestinal inflammatory bowel disease (IBD) symptoms, recent travel, antibiotic use, or dietary changes. The labs obtained during the urgent [...]