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 70 year old man with lung cancer presented from home to the emergency department after a bout of massive hematemesis. Four months ago, he was diagnosed with lung cancer spreading to mediastinal and hilar lymph nodes. He subsequently underwent radiation therapy which was directed at left hilar lymph nodes. He then developed worsening […]

Case Presentation: 25-year-old male with a past medical history of von Willebrand disease, thrombocytosis presented to an outside hospital (OSH) with acute onset chest pain. An EKG there showed ST-segment elevation in anterior leads after which he was emergently taken to the cardiac catheterization laboratory. He was found to have an left anterior descending (LAD) […]

Case Presentation: A 17 year-old boy presented with 5 days of left arm pain.   He was visiting relatives in Texas when symptoms began.  Pain began abruptly, waking him while he was sleeping on the floor.  The next day he noted arm bruising and redness and developed fever to 102.3.  He was seen by a local […]

Case Presentation: We present a case of a 37-year-old female with a past medical history of cerebral palsy and iron deficiency anemia due to heavy menstrual periods who presented with right-sided leg weakness for a few hours. Upon the patient’s arrival to the emergency room a stroke code was called. A CT scan of the […]

Case Presentation: A 37 y/o woman with past medical history of Multiple Sclerosis, diagnosed in 2011 was seen in clinic for evaluation of a new rash. Patient reported 1 week history of a reddish-purplish, non tender rash which had a circular, lacy pattern. She noted that the rash was predominantly in her lower extremities. She […]