Case Presentation: 6 month old former 35 week twin Hispanic girls presented to the ED for evaluation of bulging fontanelles for almost one week.  Both twins had been fussy for 24 hours, and Twin A also had rhinorrhea for 24 hours and high fever to 102.9 degrees Fahrenheit on the day of evaluation.  There was [...]

Background: Patient is a previously healthy 7-week old Hispanic female who presented to an emergency department with cough, congestion and decreased PO intake x 7 days. Baby had an unremarkable prenatal course and normal delivery. Mother was strictly breastfeeding the patient had normal growth and development. One week prior to the ED visit, mother had [...]

Case Presentation: A previously healthy 13-year-old Korean-American girl presented with acute altered mental status. She had fatigue, leg and abdominal pain, and was initially diagnosed with “the flu.” Two days later she progressed to worsening pain, emesis, and inability to walk. On admission she was afebrile and had nystagmus, delayed responses, slow speech, weakness, myoclonic [...]