Case Presentation: 16 year old male presented with respiratory distress for 4 days. Past medical history included obesity, obstructive sleep apnea, mild intermittent asthma (no history of asthma hospitalizations), and sickle cell trait. Patient developed respiratory distress 4 days prior to presentation and was taking albuterol about 6-8 times a day with some relief. Notably, [...]

Case Presentation: 6 day old full term male presented with one day of fever and irritability. Birth history significant for maternal fever during delivery (with sick contact just prior to delivery) and 48 hours of antibiotic therapy prior to discharge from the nursery. Exam only significant for fever and irritability. Given concern for meningitis, workup [...]

Case Presentation: A six-year-old female presented with ataxia and vomiting. She was running and fell, striking her forehead on the ground. There was no loss of consciousness. She got up and continued to play. About an hour later, she had difficulty feeding herself, trouble walking and started vomiting. The patient had no history of fevers, [...]

Case Presentation: A 17 year-old male teenager presented with two weeks of bilateral lower extremity edema, erythema, and warmth associated with fevers and joint pain at the foot and ankle. After a presumed bug bite on his left foot he developed a rash that spread from left to right leg. Symptoms did not improve with [...]

Case Presentation: A 4-year-old girl presented for evaluation of right sided jaw swelling and dental pain for 2 months. She had seen several specialists including dentists, oral surgeons, and otolaryngologists and had been treated with antibiotics and steroids for presumed lymphadenitis with temporary improvement. However, she had return of daily pain that worsened during the [...]

Case Presentation: A previously healthy 4 year-old male presented with bilateral leg pains and abnormal gait for 3 days. One week prior to admission, the patient had viral upper respiratory symptoms consisting of dry cough, congestion and rhinorrhea without abdominal pain or diarrhea, which resolved prior to presentation. Three days prior to presentation he began [...]

Case Presentation: A 12-year-old female presented to the ER with a 1-week history of painful swelling of her right upper back not alleviated by NSAIDs or warm packs. She denied a history of recent trauma or fever. She has a history of surgical removal of a cranial myofibroma at 5 months of age and persistent [...]

Case Presentation: A 3 year old boy in foster care with a history of febrile seizures and speech delay presented with 2 days of fever, fatigue and difficulty walking. He complained of leg pain. On presentation, he was febrile to 102 with a heart rate of 148, a respiratory rate of 28, blood pressure of [...]

Case Presentation: Pt was a FT 2wk old boy. At his 1st clinic appointment, he was 9% below birthweight. Mom reported appropriate feeding volume but he was sleeping throughout the day and needed to be woken for feeds. He was stooling 1-2 times per day with 4-5 wet diapers and no vomiting or fevers. At [...]

Case Presentation: 17 year-old-male with a history of anti-NMDAr encephalitis three years prior presented with two days of confusion, agitation and insomnia. Associated symptoms included anorexia, blunted affect, slow movements and, though awake, refusal to respond or engage with others. Family also reported apparent hallucinations and associated aggression including biting. Neurologic examination with non-verbal patient, [...]