Case Presentation: 26-year-old woman presents with abdominal pain for one day. She developed sudden, sharp and constant abdominal pain in the right upper quadrant and epigastric area. The pain is associated with subjective fevers, nausea and non-bilious, non-bloody vomiting. Pain is worse with deep breathing and movement. She denies weight loss, no diarrhea or constipation, […]

Case Presentation: A previously healthy 13 year-old male suffered with 2 weeks of worsening confusion associated with vomiting, ataxia, lethargy, and at the time of presentation – near obtundation.  He was afebrile, without a history of trauma or sick contacts. Two prior episodes of intractable vomiting at ages 1 and 6 resulted in a non […]