Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves ever-increasingly complex treatment plans, including fluid resuscitation and a variety of medications. Severe Migraine headache may require more aggressive therapy such as dihydroergotamine (DHE) and sphenopalatine ganglion (SPG) block that may prolong hospital stay and increase [...]

Case Presentation: A 69 year old male with past medical history of hypertension and lumbar spinal stenosis presented with numbness of the first and second digits of the left hand that progressed to weak grasp over the previous 24 hours. On arrival, vital signs were normal. Exam was significant for a well appearing male in [...]

Case Presentation: A 69-year-old man with a history of chronic obstructive pulmonary disease was admitted with fevers and altered mental status (AMS). He reported 6 months of fevers, with confusion and shortness of breath. He denied cough and sputum production, but endorsed a 20lb unintentional weight loss. He had no history of immunosuppression, imprisonment, or [...]