Case Presentation: A 14-year-old Hispanic female with history of recurrent pancreatitis, hypokalemia and disordered eating presents with diffuse weakness. She was admitted twice in recent months for pancreatitis requiring fluid and electrolyte repletion. She developed disordered eating related to fear of recurrent pancreatitis. She was discharged with oral electrolyte replacement and close follow-up. In the [...]

Case Presentation: A previously healthy 8 month old female presented to the emergency department (ED) with diarrhea and an unusual diaper rash. Her symptoms began 6 days prior to presentation with fever and congestion. She was initially diagnosed with a viral upper respiratory infection and bilateral otitis media and was prescribed cephalexin. She later developed [...]

Case Presentation: A 3,400 gram male infant was born at full term to a 32 year old G1P0>1 mother with unremarkable prenatal labs. Labor was complicated by prolonged rupture of membranes, foul smelling amniotic fluid, and maternal fever of 100.5°F. The infant was delivered vaginally. After initial resuscitation, the infant was started on antibiotics due [...]

Case Presentation: An 11 year old boy was admitted to the hospital due to 4 days of headache and vomiting. He described the pain as constant, sharp, occipital/frontal in location, and worse in the morning and overnight, specifically with laying down. Treatment with ibuprofen and acetaminophen had not provided relief. 6 months prior to this [...]

Case Presentation: A 15 year old female with a history of severe persistent asthma, allergic rhinitis, and eczema presented with a two day history of cough, shortness of breath, and chest pain. She was diagnosed with asthma at age 13 and had eight presumed exacerbations and five diagnoses of pneumonia since that time. She was [...]

Case Presentation: A 68-year-old man presented to the Emergency Department complaining of diaphoresis with concomitant alerts on his Apple Watch which reported his heart rate was irregular. He has a known history of CAD with previous stent placement but did not report any chest pain, shortness of breath, palpitations, or recent medication changes. He did [...]

Case Presentation: A 62 year-old woman with hypertension presented with one day of profound, generalized weakness. The patient awoke from sleep and felt nearly paralyzed from the neck down, unable to walk or hold a glass of water. Exam revealed 2+ strength in upper and lower extremities and left wrist drop but no cranial nerve [...]

Case Presentation: A 48-year-old African American male with history of AIDS on antiretroviral therapy and Pneumocystis jirovecii pneumonia (PJP) was admitted for a two-week history of shortness of breath and 20 pound unintentional weight loss. He also noted a three-month history of worsening left leg rash, despite using topical steroids prescribed by a dermatologist for [...]

Case Presentation: A 33 year-old woman presented with a one day history of fever and sharp pleuritic chest pain. She had a one month history of progressive fatigue, dyspnea with exertion, bilateral ankle swelling and painful bilateral nodules on her anterior shins. She has no recent travel history, TB exposures, weight loss or personal or [...]

Case Presentation: A 60-year-old African American man with diabetes presented with progressive dyspnea on exertion and swelling of lower extremities for 3 months. He reported a decline in his previously unlimited exercise tolerance to 1 block and paroxysmal nocturnal dyspnea, with no chest pain or palpitations. He denied any toxic habits and his family history [...]