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: 66 year old man with a history of eosinophilic granulomastosis with polyangiitis presented with ascending numbness and unsteadiness that worsened over two days and finally manifested as paraesthesia and weakness in all extremities, gait imbalance, and diplopia. Three weeks prior to presentation, the patient had received the flu vaccine. Neurology was consulted upon […]

Case Presentation: A 27‐year old man presented with severe muscle cramping in all extremities. The symptoms began following hours of yard work in hot weather. He had previously experienced two similar episodes but otherwise had no medical history. He took no medications, had no allergies and denied illicit drug use; he stated his brother sometimes […]

Case Presentation: A 15-year-old boy was transferred to the hospital with a 10 month history of a left cervical mass and 6 months of right calf swelling. The neck mass appeared after the patient sustained a blow to the area during a football game. The mass was not associated with any erythema or warmth. 4 […]

Case Presentation: A 27 y.o. male with a history of pre-B cell ALL in complete remission on maintenance therapy with vincristine, 6-mercaptopurine, methotrexate, and receiving intrathecal methotrexate for CNS prophylaxis presented with a 2 week history of fevers, productive cough, night sweats, and fatigue. He had no recent exposure to children or sick contacts. Physical […]

Case Presentation: A 36 year old African-American gentleman with a history of asthma presented to the Emergency Department with dizziness, numbness of both lower extremities, gait imbalance, bowel and bladder incontinence which had been worsening since the last 2 months. MRI thoracic spine revealed Focus of abnormal T2 signal within the upper thoracic spinal cord […]