Background: Acute respiratory illness is the most common reason for hospitalization in children. Antibiotics are recommended for hospitalized children with community‐acquired pneumonia despite an inability to distinguish bacterial from the more common viral etiologies. Chest x‐rays are also frequently ordered in children with asthma and bronchiolitis to look for concomitant pneumonia. As a result, antibiotics […]

Background: Heparin-induced thrombocytopenia (HIT) syndrome is an immune-mediated disorder producing thrombocytopenia and thrombosis, with or without prior exposure to heparin. Although avoidance of heparin products and non-heparin anticoagulants are used, immune-based therapies including intravenous immunoglobulin have been tried when the thrombocytopenia persists or there is breakthrough thrombosis. We sought to systematically review and analyze the […]

Case Presentation: A 29‐year‐old male with a history marijuana and cocaine use presented with abdominal pain of three weeks duration. The pain was associated with nausea, emesis, dark urine, night sweats and fever. He denied recent travel or sick contacts. On admission he was mildly tachycardic and afebrile. On physical exam he had left upper […]

Case Presentation: A 55-year-old female presented with headaches and intermittent fevers. On initial examination, she had left hand weakness. Laboratory findings revealed leukocytosis; brain MRI demonstrated multiple bilateral cerebral infarcts. Initial workup was concerning for embolic stroke which initiated our search for a cardioembolic source. No significant abnormalities were seen on transthoracic echo (TTE) and […]

Case Presentation:    The patient is a 16 year old male who presented with 6 days of fever, nausea, vomiting, and diarrhea, 2 days of headache and neck pain, and 1 day of dysuria. He had returned from a month long trip to Bolivia, where he stayed with family.   Physical exam revealed normal vital […]

Case Presentation: A 46-year-old female presented with a 2-day history of shortness of breath, pleuritic chest pain and lower extremity swelling while taking low-molecular weight heparin (LMWH). One month prior she was diagnosed with a left lower extremity DVT after a hysterectomy. She was treated with LMWH with a planned transition to rivaroxaban. Medical history […]