Case Presentation: A 59‐year‐old gentleman was admitted with three‐weeks of unremitting, episodic fevers after returning from a recent visit to India. He endorsed associated drenching night sweats, chills, shortness of breath and generalized fatigue. During his travels, he visited a hospitalized family member, drank unfiltered water, and stayed in a house with reported mold growth. […]

Case Presentation: A 59-year-old previously healthy man presented with subacute fatigue, back pain, and fevers. He developed gradual exertional intolerance in the preceding months which had progressively worsened prior to seeking medical attention. On the day of his presentation, he developed significant abdominal and atraumatic midline back pain. Vital signs at presentation were notable for […]

Case Presentation: A 29-year-old woman presented to the emergency department for a 5-day history of persistent fever, sore throat, diffuse myalgias, and epigastric abdominal pain. The patient was recently diagnosed and treated for pelvic inflammatory disease after unprotected intercourse with a new sexual partner. On examination, she was tachycardic, hypotensive, afebrile and was noted to […]

Case Presentation: A 53 year old man with a history of HIV, CD4 count of 20, pulmonary aspergillosis, history of pulmonary stenotrophomonas maltophilia, and bronchus intermedius stenosis presented with fever, dyspnea, and cough of two weeks duration. Physical exam was significant for bilateral rales. Chest X‐ray showed bilateral pulmonary heterogeneous opacities. The patient was diagnosed […]

Case Presentation: A 21-year-old woman was referred to the hematology clinic for further workup for thrombocytosis which was found upon evaluation for vasovagal syncope. The patient was asymptomatic with no pertinent past medical or family history. Upon presentation, the patient was vitally stable and physical examination was normal. Labs were relevant for a white blood […]

Background: While the majority of children with unplanned admissions are admitted through the emergency department (ED), direct admissions constitute a significant proportion of hospital admissions nationally. Despite this, past studies among children have not characterized direct admission practices or outcomes. Pneumonia is the leading cause of pediatric hospitalization in the United States, providing an ideal […]

Case Presentation: A 71-year-old man with type 2 diabetes mellitus, hypertension, coronary artery disease, and peripheral arterial disease presented with worsening bilateral lower extremity pain which started two days prior to admission. Physical exam revealed cold and pale lower extremities, tenderness, and absence of pulses on both lower limbs but no edema or ulceration. Range […]

Case Presentation: A 15 year-old boy presented to a referring facility with right lower extremity weakness, numbness and urinary retention following a spider bite. The weakness subsequently spread to the contralateral leg with ascending numbness to the umbilicus. Negative inspiratory forces then decreased to -10 cm H2O with associated dyspnea, so he was intubated and […]

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 […]