Case Presentation: A 53-year-old female with no medical history presented with worsening mental status for 3 months. All history was given by family. Three months prior to presentation she began experiencing a generalized, persistent headache. A neurologist prescribed nortriptyline for presumed migraines, with improvement. In the month prior to presentation, the patient had become less […]

Case Presentation: A 4 y.o. African American male presented with headache x 4 days and decreased level of consciousness.  He was very sleepy with decreased po intake, sore throat, photophobia, loss of balance, and weakness.  No fever, vomiting, or seizures.  Vital signs within normal limits.  Physical exam: ill appearing, lethargic child with erythematous pharynx, moderate […]