Case Presentation: A 32-day-old full-term male presented to his physician (PCP) for constipation, oral thrush & poor feeding. Mother reported that the infant had been active and feeding well until 6 days prior to presentation. He was seen by his PCP at that time for oral thrush and prescribed a course of Nystatin. He was [...]

Case Presentation: A four-year-old boy with a history of non-verbal autism was admitted with one week of progressive bilateral lower extremity weakness and pain. Past history was significant for a diarrheal illness 1 month prior. Exam findings included poor dental hygiene, gingival hypertrophy with ecchymosis and bleeding, intact reflexes and 3/5 lower extremity strength. Labs [...]

Case Presentation: A 15 year-old female with obesity presents to the hospital with vomiting, headache, and decreased responsiveness. Prior to arrival she had about 10 episodes of non-bloody vomiting, after which she had altered consciousness. She denied any diarrhea, dysuria, blood in stool, and vaginal bleeding. She denied bleeding and bruising easily. No recent consumption [...]

Case Presentation: A previously healthy 8-month-old infant presented with poor weight gain, edema, and hypotonia. Vital signs were notable for heart rate 126, blood pressure 58/32, respiratory rate 32, and temperature 36.1C. Mucous membranes were dry with capillary refill of 3-4 seconds and edema of all extremities. He had decreased muscle tone, minimal spontaneous movement, [...]

Case Presentation: A three-month-old previously-healthy girl presented with one week of progressively poor breastfeeding due to a weak latch along with decreased activity level and urine output. Her last bowel movement was 4 days prior to admission which had been her baseline for 1-2 months. She had no recent fevers, illnesses, or exposures. Her family [...]

Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma [...]

Case Presentation: A 17-year-old female with no past medical history was admitted to a tertiary care children’s hospital with acute onset of abdominal pain, nausea, emesis, oral ulcers, and vaginal rash. She was sexually active with the last unprotected encounter nine days prior to presentation. She endorsed dysuria but denied vaginal discharge. The patient was [...]

Case Presentation: A 15-year-old female with a history of migraines presented with headache and confusion. On the morning of presentation, the patient endorsed a migraine-like headache that was not relieved with over-the-counter medications, blue/gray discoloration of her hands, and shortness of breath. Review of systems was positive for anxiety, chest pain, and lightheadedness and negative [...]

Case Presentation: 17 year old female with history of severe persistent asthma, allergies, and chronic marijuana use presents with one month of worsening dyspnea, cough, and chest pain, after treatment for left lower lobe pneumonia and asthma exacerbation.She was afebrile, tachycardic, tachypneic, but saturating well on room air. Lung exam had diminished breath sounds at [...]

Case Presentation: An 8-year-old fully vaccinated female developed fever, abdominal pain, sore throat, and vomiting 6 days prior to admission. When seen by her pediatrician 4 days prior, she had an erythematous oropharynx and was treated with amoxicillin for streptococcus pharyngitis. The following day, she developed blood-streaked emesis and was seen in a local Emergency [...]